Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH B. BORTIN, MD
ActiveCardiovascular Disease · LAKE GENEVA, WI
Registration Details
- NPI Number
- 1861554743
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 15, 2006 (19.399254652177 yrs)
- Last Updated
- Aug 9, 2016
- License
-
26253-20 (WI)
Practice Information
- Address
-
N2950 STATE ROAD 67LAKE GENEVA, WI, 531472655Browse WI providers · Browse ZIP 53147
- Phone
- 2622454990
- Fax
- 2622452655
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
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.