Individual
DR. BRADY KAHLIG OTTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33100 CLEVELAND CLINIC BLVD, AVON, OH 44011-1390
(440) 695-4000
Mailing address
2075 W 25TH ST APT 710, CLEVELAND, OH 44113-4152
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL87960
SC
207RP1001X
Pulmonary Disease Physician
Primary
35.154455
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
08/06/2025
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