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Mr. Gerald Michael Ottenwalder, KCPM
Peer Specialist in Burlington, Kansas
NPI 1417449083

Gerald Michael Ottenwalder is a Peer Specialist based in Emporia, KS. Gerald Michael Ottenwalder practices in Burlington, KS and has the professional credentials of KCPM. The NPI Number for Gerald Michael Ottenwalder is 1417449083 and holds a License No. (Kansas).

The current practice location address for Gerald Michael Ottenwalder is 420 Kennedy St, Burlington, KS and can be reached out via phone at 620-364-2606.

Location: 420 Kennedy St, Burlington, KS, 66801-2401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417449083
Provider Name
Gerald Michael Ottenwalder
Credential
KCPM
Provider Entity Type
Individual
Gender
Male
Address
420 Kennedy St, Burlington, KS, 66801-2401
Phone Number
620-364-2606
Fax Number
Provider Enumeration Date
05/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
420 Kennedy St
City
Burlington
State
Kansas
Zip
66839-1120
Phone Number
620-364-2606
Fax Number
person
Provider Business Mailing Address Details
Address
420 Kennedy St
City
Burlington
State
Kansas
Zip
66839-1120
Phone Number
620-364-2606
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Kansas)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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