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Keven R Mottinger, PAC
Physician Assistant in Kenosha, Wisconsin
NPI 1154377091

Keven R Mottinger is a Physician Assistant based in Kenosha, WI. Keven R Mottinger practices in Kenosha, WI and has the professional credentials of PAC. The NPI Number for Keven R Mottinger is 1154377091 and holds a License No. 1868 (Wisconsin).

The current practice location address for Keven R Mottinger is 3400 Market Ln, Kenosha, WI and can be reached out via phone at 262-551-4600 and via fax at 262-551-4630. You can also correspond with Keven R Mottinger through the mailing address at 4536 22ND AVE, KENOSHA, WI - 53140-5917 (mailing address contact number: 262-656-0044).

Location: 3400 Market Ln, Kenosha, WI, 53140-5917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154377091
Provider Name
Keven R Mottinger
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
3400 Market Ln, Kenosha, WI, 53140-5917
Phone Number
262-551-4600
Fax Number
262-551-4630
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12006222 01 CAQH
institution
Provider Business Practice Location Address Details
Address
3400 Market Ln
City
Kenosha
State
Wisconsin
Zip
53144-3430
Phone Number
262-551-4600
Fax Number
262-551-4630
person
Provider Business Mailing Address Details
Address
4536 22Nd Ave
City
Kenosha
State
Wisconsin
Zip
53140-5917
Phone Number
262-656-0044
Fax Number
262-653-2218
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
1868 (Wisconsin)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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