Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hannah Otte Kidwell, PA

Individual provider Physician Assistant · NPI 1811589351

Hannah Otte Kidwell, PA is a Physician Assistant in Cincinnati, Ohio. Qualified in 2020, 6 years ago. Practices with Summit Medical Group Inc, a 799-clinician group and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
6
Licensed in
KY, OH
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2123 Auburn Ave Ste 428
Cincinnati, OH 45219-2906
Phone: (513) 206-1222
Fax: (513) 585-2095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.006602RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence TC091 (KY)

Record details

NPI number1811589351
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 5, 2021
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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