Ott, Kevin Wayne

Ott, Kevin Wayne is an individual health care provider with primary practice located at 1537 Elmira St , Sayre PA 18840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ott, Kevin Wayne can be contacted via phone (570) 888-6803.

Contact Information

Primary practice address
1537 Elmira St Sayre PA 18840
Phone: (570) 888-6803
Fax: (607) 664-4645
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 251466 New York

Profile Details

NPI number 1386646784
LBN Legal business name Ott, Kevin Wayne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386646784 NPPES
New Hampshire MEDICAID 30223020
New Hampshire Other 0125497
New Hampshire Other P00141342
New Hampshire Other 04YP07288NH02
New Hampshire Other 5830418
New Hampshire Other 020350051
New Hampshire Other 12402

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