Bautista Medical Clinic
Organization Active NPI Family Medicine Physician · Mt Washington, KY
NPI 1639472020 · NPPES record last updated Dec 7, 2010
Key facts
- NPI
- 1639472020
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BAUTISTA MEDICAL CLINIC
- Practice address
- 161 West Ave
Mt Washington, KY 40047-7636 - Phone
- (502) 538-7425
- NPI assigned
- Dec 7, 2010
- Organization subpart
- No
Authorized official
- Name
- Fe L. Bautista, M.D.
- Title
- Co-Owner
- Phone
- (502) 538-7425
National Provider Directory
Locations
161 West Ave
Mt Washington, KY 40047
Phone (502) 538-7425
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
161 West Ave
Mt Washington, KY 40047-7636
Mailing address
161 West Ave
Mt Washington, KY 40047-7636
Phone (502) 538-7425
Other providers in Mt Washington, KY
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- B&B Pharmacy, PLLC
- Christopher Badamo
- Barger Drug
- Christopher Dale Barger
- Constancio M Bautista
- Stephanie Beaty
- Bedrock HC at Green Meadows LLC
- Joseph Linn Bell
- Karyn Michele Bentley
All providers in Mt Washington, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2010. 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.