Individual provider · Type 1 NPI

Keven R. Mottinger, PAC

Physician Assistant · Kenosha, WI

NPI number 1154377091 Active

Practice location

3400 Market Ln
Kenosha, WI 53144-3430

Call (262) 551-4600 Map

Fax (262) 551-4630

Mailing address

4536 22nd Ave
Kenosha, WI 53140-5917

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1868 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1154377091

Keven R. Mottinger, PAC's National Provider Identifier is 1154377091, issued on May 25, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kenosha, WI. The record was last updated on Aug 31, 2020.