Individual
DAVID E KAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
255 W LANCASTER AVE, PAOLI, PA 19301
(610) 648-1043
(610) 648-1415
Mailing address
PO BOX 3012, WILMINGTON, DE 19804
(800) 456-4629
(302) 224-2848
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002780L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0704121
—
NJ
Enumeration date
02/08/2006
Last updated
05/24/2024
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