Individual
AUGUST JOSEPH OTT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
134 PROFESSIONAL AVE, WINCHESTER, KY 40391
(859) 744-1556
(859) 744-7415
Mailing address
134 PROFESSIONAL AVE, WINCHESTER, KY 40391-1116
(859) 744-1556
(859) 744-7415
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26020
KY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
26020
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64260201
—
KY
Enumeration date
03/03/2006
Last updated
12/17/2020
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