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

Keven R Mottinger, PAC

Individual provider Physician Assistant · NPI 1154377091

Keven R Mottinger, PAC is a Physician Assistant in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

3400 Market Ln
Kenosha, WI 53144-3430
Phone: (262) 551-4600
Fax: (262) 551-4630
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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 1868 (WI)

Record details

NPI number1154377091
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020

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