OrganizationActive
Chiaki Gauntt MD PLLC
NPI 1285813469 · Medical Specialty Clinic/Center · La Grange, KY
Provider details
- NPI number
- 1285813469
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donna Applegate, Practice Administrator(502) 645-8539
- License
- 39795 (KY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1917 S Highway 53
La Grange, KY 40031-8574
Phone: (502) 645-8539
Fax: (812) 944-5496
Approximate (ZIP-level) locationGet directions
Mailing address
6307 Mint Spring Branch Rd
Prospect, KY 40059-8614
Registry dates
- Enumerated
- 2007-10-24
- Last updated
- 2008-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.