Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVEN R MOTTINGER, PAC
ActiveKEVEN R MOTTINGER, PAC is a Physician Assistant healthcare provider located in KENOSHA, Wisconsin. NPI 1154377091 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · KENOSHA, WI
Registration Details
- NPI Number
- 1154377091
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2006 (20.180273325191 yrs)
- Last Updated
- Aug 31, 2020
- License
-
1868 (WI)
Practice Information
- Address
-
3400 MARKET LNKENOSHA, WI, 531443430Browse WI providers · Browse ZIP 53144
- Phone
- 2625514600
- Fax
- 2625514630
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| NISHA DESHPANDE | PA | 1154322147 |
| KAREN J STEVENS | PA | 1750362208 |
| ALISHA FAY MALY | PA | 1275517443 |
| MS. KIMBERLY ROBERSON | PA | 1083666796 |
| POLLYANNA KABARA | PA-C | 1134173479 |
| JERRILYN JOHNSON | PA-C | 1568496990 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.