Individual
DR. WILLIAM ALLEN KAUTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ED.D. , ATC, CSCS
Contact information
Practice address
302 E. EMERSON ST., BLOOMINGTON, IL 61702-2900
(309) 556-3601
Mailing address
1 LAKEVIEW PT, BLOOMINGTON, IL 61701-7818
(309) 823-9189
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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