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

Mr. Gerald Michael Ottenwalder, KCPM

Individual provider Peer Specialist · NPI 1417449083

Mr. Gerald Michael Ottenwalder, KCPM is a Peer Specialist in Burlington, Kansas. Licensed in Kansas. Registered with an NPI since 2018.

Licensed in
KS
In the registry since
2018

Practice location Address checks out

420 Kennedy St
Burlington, KS 66839-1120
Phone: (620) 364-2606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (KS)

Record details

NPI number1417449083
Entity typeIndividual (Type 1)
GenderMale
Credentials KCPM
Sole proprietorNo
NPI enumeratedMay 30, 2018
Last updated in NPPESMay 30, 2018
Mailing address625 Sherman St, Emporia, KS 66801-2401