Organization · Type 2 NPI
Chiaki Gauntt MD PLLC
Medical Specialty Clinic/Center · La Grange, KY
Practice location
1917 S Highway 53
La Grange, KY 40031-8574
Fax (812) 944-5496
Mailing address
6307 Mint Spring Branch Rd
Prospect, KY 40059-8614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 39795 (KY) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Another provider at this address
About NPI 1285813469
Chiaki Gauntt MD PLLC's National Provider Identifier is 1285813469, issued on Oct 24, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in La Grange, KY. The record was last updated on Apr 30, 2008.