Individual
JESSIE LYN KAUTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 S ALABAMA ST STE 6A, BUTTE, MT 59701-2358
(406) 563-7239
(406) 782-2890
Mailing address
401 W PENNSYLVANIA AVE STE 300, ANACONDA, MT 59711-1999
(406) 563-8500
(406) 563-8694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10036
MT
208D00000X
General Practice Physician
Primary
10036
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366424558
NPI
MT
Enumeration date
11/15/2005
Last updated
04/01/2019
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