Individual
DR. RICHARD M KAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 B VETERANS BLVD, ACOMA, NM 87034
(505) 552-5300
(505) 552-5490
Mailing address
PO BOX 130, SAN FIDEL, NM 87049-0130
(505) 552-5300
(505) 552-5490
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A49176
CA
207P00000X
Emergency Medicine Physician
Primary
MD15373
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A491760
—
CA
05
—
H3451
—
NM
Enumeration date
08/08/2006
Last updated
04/15/2019
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