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Dr. Kenneth Lee Otto, DC
Chiropractor in Appleton, Wisconsin
NPI 1770647521

Kenneth Lee Otto is a Chiropractor based in Appleton, WI. Kenneth Lee Otto practices in Appleton, WI and has the professional credentials of DC. The NPI Number for Kenneth Lee Otto is 1770647521 and holds a License No. 3082-012 (Wisconsin).

The current practice location address for Kenneth Lee Otto is 308 E Northland Ave, Appleton, WI and can be reached out via phone at 920-739-6800 and via fax at 920-739-3999.

Location: 308 E Northland Ave, Appleton, WI, 54911-2163
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Provider Profile Details
NPI Number
1770647521
Provider Name
Kenneth Lee Otto
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
308 E Northland Ave, Appleton, WI, 54911-2163
Phone Number
920-739-6800
Fax Number
920-739-3999
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38976800 05 WI
institution
Provider Business Practice Location Address Details
Address
308 E Northland Ave
City
State
Zip
54911-2163
Phone Number
920-739-6800
Fax Number
920-739-3999
person
Provider Business Mailing Address Details
Address
308 E Northland Ave
City
State
Zip
54911-2163
Phone Number
920-739-6800
Fax Number
920-739-3999
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
3082-012 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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