| Doctor Name: | KEVIN GAUZE |
| NPI Number: | 1144503418 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN |
| License Number: | 3007167 |
| Business Practice Address: | 2583 Highway 644 Ste 1 Louisa, KY - 412309436 |
| Business Phone Number: | 6066383131 |
| Business Fax Number: | |
| Mailing Address: | 2583 Highway 644, Ste 1 LOUISA |
| State: | KY |
| Postal Code: | 412309436 |
| Phone Number: | 6066383131 |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2011 |
| NPI Last Update Date: | 09/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3007167 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |