Search › Wisconsin › 363A00000X
Keven Mottinger, PAC
NPI 1154377091 · on the registry since 2006
Practice
- Address
- 3400 Market Ln
Kenosha, WI 53144 - Phone
- (262) 551-4600
- Fax
- (262) 551-4630
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin