Individual
MR. KIMBERLY A OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10342 N 100 W, WHEATFIELD, IN 46392-9704
(866) 434-3255
(855) 238-6151
Mailing address
10342 N 100 W, WHEATFIELD, IN 46392-9704
(866) 434-3255
(855) 238-6151
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
28143248A
IN
Other
Enumeration date
01/06/2015
Last updated
09/12/2025
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