Individual
DR. KENNETH OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2100 5TH AVE, STE 200, SAN DIEGO, CA 92101-2102
(619) 297-4481
(619) 291-5536
Mailing address
2100 5TH AVE, STE 200, SAN DIEGO, CA 92101-2102
(619) 297-4481
(619) 291-5536
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A25239
CA
Other
Enumeration date
08/17/2006
Last updated
09/11/2014
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