Ottawl Douglas Conrad, PSS
NPI #1760230734 in Mt Sterling, Kentucky
Provider Information
- NPI Number
- 1760230734
- Entity Type
- Individual
- Name
- Ottawl Douglas Conrad, PSS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Credential
- PSS
- Enumeration Date
- May 7, 2024
- Last Updated
- Sep 16, 2024
Practice Location
- Address
- 209 DAVIS RD
- City
- Mt Sterling
- State
- Kentucky
- ZIP Code
- 40353-9549
- Phone
- (859) 498-6574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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