Individual
KIMBERLY K OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 HAMACHER ST, SUITE 205, WATERLOO, IL 62298-1592
(618) 939-4368
(888) 371-4468
Mailing address
509 HAMACHER ST, SUITE 205, WATERLOO, IL 62298-1592
(618) 939-4368
(888) 371-4468
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000082
IL
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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