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Kevin Wayne Ott, DO
Family Medicine Physician in Sayre, Pennsylvania
NPI 1386646784

Kevin Wayne Ott is a Family Medicine Physician based in Sayre, PA. Kevin Wayne Ott practices in Sayre, PA and has the professional credentials of DO. The NPI Number for Kevin Wayne Ott is 1386646784 and holds a License No. 251466 (Pennsylvania).

The current practice location address for Kevin Wayne Ott is 1537 Elmira St, Sayre, PA and can be reached out via phone at 570-888-6803 and via fax at 607-664-4645.

Location: 1537 Elmira St, Sayre, PA, 18840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386646784
Provider Name
Kevin Wayne Ott
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1537 Elmira St, Sayre, PA, 18840
Phone Number
570-888-6803
Fax Number
607-664-4645
Provider Enumeration Date
08/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30223020 05 NH
0125497 01 NH CIGNA HEALTHCARE
P00141342 01 RAILROAD MEDICARE
04YP07288NH02 01 NH ANTHEM BC/BS
5830418 01 NH AETNA GROUP
020350051 01 FEDERAL TAX ID#
12402 01 NH STATE LICENSE #
institution
Provider Business Practice Location Address Details
Address
1537 Elmira St
City
Sayre
State
Pennsylvania
Zip
18840
Phone Number
570-888-6803
Fax Number
607-664-4645
person
Provider Business Mailing Address Details
Address
1537 Elmira St
City
Sayre
State
Pennsylvania
Zip
18840
Phone Number
570-888-6803
Fax Number
607-664-4645
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
251466 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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