Kenneth P. Mauterer MD a Medical Corp
Organization Active NPI General Practice Physician · Olla, LA
NPI 1205018017 · NPPES record last updated Dec 4, 2007
Key facts
- NPI
- 1205018017
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 012667 (LA)
- Legal business name
- KENNETH P. MAUTERER MD A MEDICAL CORP
- Practice address
- 1148 N Pine Road
Olla, LA 71465 - Phone
- (318) 495-3131
- Fax
- (318) 495-3677
- NPI assigned
- Dec 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Kenneth P Mauterer, MD
- Title
- President
- Phone
- (318) 495-3131
National Provider Directory
Locations
1148 N Pne Rd
Olla, LA 71480
Phone (318) 495-3175
1148 N Pne Rd
Olla, LA 71465
1148 N Pne Rd
Olla, LA 71480
Phone (318) 495-3175
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | 012667 | LA | Yes |
Addresses
Primary practice location
1148 N Pine Road
Olla, LA 71465
Mailing address
PO Box 668
Olla, LA 71465-0668
Phone (318) 495-3131
Other providers in Olla, LA
- Hardtner Medical Center
- Hardtner Medical Center
- Tyler Kennedy Hinson
- Carli Prudhomme Johnson
- Roy Steven Johnson
- Lasalle Hospital Service Dist #1
- Lasalle Hospital Service District #1
- Lasalle Parish Hospital Service Dist No1
- Lasalle Parish Hospital Service District #1
- Lasalle Parish Hospital Service District #1
All providers in Olla, LA · General Practice Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.