Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kenneth Lee Otto, DC

Individual provider Chiropractor · NPI 1770647521

Dr. Kenneth Lee Otto, DC is a Chiropractic in Appleton, Wisconsin. Graduated from Palmer College Chiropractic - Davenport in 1993, 33 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
33
Trained at
Palmer College Chiropractic - Davenport
Licensed in
WI
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

308 E Northland Ave
Appleton, WI 54911-2163
Phone: (920) 739-6800
Fax: (920) 739-3999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3082-012 (WI)

Record details

NPI number1770647521
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedDecember 19, 2006
Last updated in NPPESAugust 30, 2011
Mailing address308 E Northland Ave, Appleton, WI 54911-2163

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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