DR. Kenneth Lee Otto, D.C.

NPI #1770647521 in Appleton, Wisconsin

Provider Information

NPI Number: 1770647521
Entity Type: Individual
Name: DR. Kenneth Lee Otto, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Dec 19, 2006
Last Updated: Aug 30, 2011

Practice Location

Address: 308 E NORTHLAND AVE
City: Appleton
State: Wisconsin
ZIP Code: 54911-2163
Phone: (920) 739-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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