NPI 1417449083
Gerald Michael Ottenwalder, KCPM
Practice location
- Address
- 420 Kennedy St, Burlington, KS 66839-1120
- Phone
- (620) 364-2606
- Mailing address
- 625 Sherman St, Emporia, KS 66801-2401
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1417449083
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 May 2018
- Record last updated
- 30 May 2018
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.