Individual
BRIAN G KAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2365 SPRINGS RD NE, HICKORY, NC 28601-3067
(828) 256-2112
(828) 256-2393
Mailing address
146 ASHFORD HOLLOW LN, MOORESVILLE, NC 28117-9695
(828) 256-2112
(828) 256-2393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200501082
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040EH
BCBS PROVIDER NUMBER
NC
01
—
200501082
LICENSE - NC
NC
05
—
5901509
—
NC
Enumeration date
08/15/2006
Last updated
03/07/2023
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