Dr. Kenneth Lee Otto is a Appleton, Wisconsin based male chiropractor with 31 years of experience in General Chiropractor. He completed his graduation from Palmer College Chiropractic - Davenport in 1993. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kenneth Lee Otto as General Chiropractor is 3082-012 in Wisconsin. Dr. Kenneth Lee Otto is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Kenneth Lee Otto speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
31+ years
Medical School Attended:
Palmer College Chiropractic - Davenport
Graduation Year:
1993
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
308 E Northland Ave, Appleton, Wisconsin, 54911-2163
Phone:
920-739-6800
Fax:
920-739-3999
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6709800766
Enrollment ID:
I20060118000397
NPI Number:
1770647521
NPI Enumeration Date:
19 Dec, 2006
NPI Last Update On:
30 Aug, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Lee Otto are as mentioned below.
License Number
Specialization
State
Status
3082-012
Chiropractor
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenneth Lee Otto such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
38976800
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
308 E Northland Ave, Appleton, Wisconsin
Zip:
54911-2163
Phone Number:
920-739-6800
Fax Number:
920-739-3999
Patients can reach Dr. Kenneth Lee Otto at 308 E Northland Ave, Appleton, Wisconsin or can call to book an appointment on 920-739-6800. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.