Otto, Kerri S
Otto, Kerri S is an individual health care provider with primary practice located at 7100 Stephanie Ln Ste 100 , Lincoln NE 68516-5332. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Otto, Kerri S can be contacted via phone (402) 484-9009.Contact Information
Primary practice address
7100 Stephanie Ln Ste 100
Lincoln NE 68516-5332
Phone: (402) 484-9009
Fax: (402) 483-4223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 1020 | Nebraska |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 1020 | Nebraska |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1020 | Nebraska |
Profile Details
| NPI number | 1972601102 |
|---|---|
| LBN Legal business name | Otto, Kerri S |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972601102 | NPPES |
| Nebraska | MEDICAID | 47065843713 |
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