Individual
DR. HANS FREDERICK OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5001 HOUSTON RD, FLORENCE, KY 41042
(859) 980-7180
(855) 656-7325
Mailing address
9800 SHELBYVILLE RD, SUITE #220, LOUISVILLE, KY 40223-2992
(502) 429-8585
(855) 656-7325
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
01068802A
IN
207K00000X
Allergy & Immunology Physician
Primary
44263
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100159850
—
KY
Enumeration date
10/04/2005
Last updated
03/16/2021
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