Individual
DR. LARRY L. OTEHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
350 HOSPITAL WAY STE 101, SOMERSET, KY 42503-2872
(606) 451-5092
Mailing address
350 HOSPITAL WAY STE 100, SOMERSET, KY 42503-1872
(606) 451-5087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TP847
KY
Other
Enumeration date
02/28/2006
Last updated
12/30/2013
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