Individual
DR. KATHI A. AULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1680 EAGLE HARBOR PKWY, SUITE A, ORANGE PARK, FL 32003-4806
(904) 264-9555
(904) 215-7960
Mailing address
PO BOX 16568, JACKSONVILLE, FL 32245-6568
(904) 472-2300
(904) 472-2330
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME32583
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039579000
—
FL
Enumeration date
03/24/2006
Last updated
07/21/2008
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