| Doctor Name: | DR. KATHI A. AULTMAN |
| NPI Number: | 1043270853 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | ME32583 |
| Business Practice Address: | 1680 Eagle Harbor Pkwy Suite A Orange Park, FL - 320034806 |
| Business Phone Number: | 9042649555 |
| Business Fax Number: | 9042157960 |
| Mailing Address: | Po Box 16568, JACKSONVILLE |
| State: | FL |
| Postal Code: | 322456568 |
| Phone Number: | 9044722300 |
| Fax Number: | 9044722330 |
| NPI Enumeration Date: | 03/24/2006 |
| NPI Last Update Date: | 07/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | ME32583 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |