Individual
DR. RICHARD G. GAUTRAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3617
(859) 572-2366
Mailing address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3617
(859) 572-2366
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34767
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0968976
—
OH
05
—
201047720
—
IN
05
—
64938509
—
KY
Enumeration date
07/26/2006
Last updated
03/13/2012
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