National Provider Identifier Database

GERALD M OTTENWALDER, KCPM – NPI #1417449083
Other Service Providers

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.


Contact Information

GERALD M OTTENWALDER, KCPM
420 KENNEDY ST
BURLINGTON, KS66839-1120
Phone: 620-364-2606
Fax:
Website:
Specialty Taxonomy Code
* Other Service Providers 175T00000X

* Indicates primary specialty

NPI Profile & details for GERALD M OTTENWALDER

NPI Number 1417449083
Credentials KCPM
Entity Individual
Enumeration date 05/30/2018
Last updated 05/30/2018 - About 8 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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