Search › Wisconsin › 363L00000X
Kirby Otto, APNP
NPI 1649603044 · on the registry since 2013
Practice
- Address
- 100 County Road B
Shawano, WI 54166 - Phone
- (920) 731-8900
- Fax
- (920) 225-1414
- Organisation at this address
- Thedacare, Incorporated
Thedacare, Incorporated
Forefront Dermatology, S.C.
Valley Urologic Associates, Sc
Shopko Stores Operating Co., LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 99
Additional practice sites
- 744 S Webster Ave, Green Bay, WI
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-17
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