| Doctor Name: | MS. CHERYL ANN KOTTKE |
| NPI Number: | 1144303918 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 2085 |
| Business Practice Address: | 4301 Mow-way Road Reynolds Army Community Hospital(attn: Mcua-qc, ) Fort Sill, OK - 735036300 |
| Business Phone Number: | 5804582134 |
| Business Fax Number: | 5804582314 |
| Mailing Address: | 2737 N.e. Euclid Street, Unit B LAWTON |
| State: | OK |
| Postal Code: | 73501 |
| Phone Number: | 5805910593 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2085 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |