Individual provider · Type 1 NPI

Kevin William Rauchut Jr., NP-C

Adult Health Nurse Practitioner · Los Angeles, CA

NPI number 1578084547 Active

Practice location

5901 W Olympic Blvd Ste 310
Los Angeles, CA 90036-4664

Fax (323) 205-3867

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X95006830 (CA)
Adult Health Nurse Practitioner Primary 363LA2200X95006830 (CA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1578084547

Kevin William Rauchut Jr., NP-C's National Provider Identifier is 1578084547, issued on Jun 29, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 6, 2020.