NPI 1003879867

Kristin N Otero, PA

Practitioner Physician Assistant Milwaukee, WI

Practice location

Address: 5000 W Chambers St, Milwaukee, WI 53210-1650
Phone: (414) 447-2000
Mailing address: 10625 W North Ave Suite 102, Milwaukee, WI 53226-2315

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1629-023 (WI)

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Registry record

NPI: 1003879867
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 2006
Record last updated: 20 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.