Kathleen Kay Otten, is a
Registered Nurse - Wound Care based in Tea, South Dakota. Kathleen Kay Otten is licensed to practice in South Dakota (license number R018685) and her current practice location is
131 N Poplar Ave, Tea, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 498-2702.
NPI number for Kathleen Kay Otten is 1053800201 and her current mailing address is 131 N Poplar Ave, Tea, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053800201.
Provider's Profile
| Full Name | Kathleen Kay Otten |
|---|
| Gender | Female |
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| Speciality | Registered Nurse - Wound Care |
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| Location | 131 N Poplar Ave, Tea, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053800201
- Provider Enumeration Date: 05/03/2018
- Last Update Date: 05/03/2018
Medical Identifiers
Medical identifiers for Kathleen Kay Otten such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053800201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WW0000X | Registered Nurse - Wound Care | R018685 (South Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Kay Otten is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kathleen Kay Otten,
131 N Poplar Ave,
Tea, SD 57064-2152
Ph: (605) 498-2700 | Kathleen Kay Otten,
131 N Poplar Ave,
Tea, SD 57064-2152
Ph: (605) 498-2702 |
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