Organization · Type 2 NPI
Kenneth P. Mauterer MD A Medical Corp
General Practice Physician · Olla, LA
NPI number
1205018017
Active
Practice location
1148 N Pine Road
Olla, LA 71465
Fax (318) 495-3677
Mailing address
PO Box 668
Olla, LA 71465-0668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 012667 (LA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Olla
About NPI 1205018017
Kenneth P. Mauterer MD A Medical Corp's National Provider Identifier is 1205018017, issued on Dec 4, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Olla, LA. The record was last updated on Dec 4, 2007.