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Individual
KIMBERLY OTT
Active
Individual
KIMBERLY OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
MO6738465
FL
363L00000X
Nurse Practitioner
APRN11011748
FL
363LF0000X
Family Nurse Practitioner
APRN11011748
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11011748
FL
Other
Enumeration date
03/01/2021
Last updated
06/23/2026
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