Doctor Name: | CHRISTOPHER J KOTTENSTETTE |
NPI Number: | 1023099348 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C, CPE |
License Number: | PA2011-0006 |
Business Practice Address: | 5285 Mcwhinney Blvd Suite 145 Loveland, CO - 805388863 |
Business Phone Number: | 9703422220 |
Business Fax Number: | 9703422221 |
Mailing Address: | 5285 Mcwhinney Blvd, Suite 145 LOVELAND |
State: | CO |
Postal Code: | 805388863 |
Phone Number: | 9703422220 |
Fax Number: | 9703422221 |
NPI Enumeration Date: | 11/14/2005 |
NPI Last Update Date: | 01/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA2011-0006 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |