Individual provider · Type 1 NPI
Constancio M. Bautista, MD
Specialist · Mount Washington, KY
NPI number
1417937962
Active
Practice location
161 West St
Mount Washington, KY 40047-7184
Mailing address
PO Box 130
Mount Washington, KY 40047-0130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 16733 (KY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Mount Washington
About NPI 1417937962
Constancio M. Bautista, MD's National Provider Identifier is 1417937962, issued on Jan 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mount Washington, KY. The record was last updated on Jul 8, 2007.