Healthcare Provider Details

I. General information

NPI: 1669564456
Provider Name (Legal Business Name): KATHERINE MAY HOTT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 07/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 E FRANKLIN ST B
DAYTON OH
45459-5606
US

IV. Provider business mailing address

175 SYCAMORE CREEK DR
SPRINGBORO OH
45066-1352
US

V. Phone/Fax

Practice location:
  • Phone: 937-435-3238
  • Fax: 937-435-4903
Mailing address:
  • Phone: 937-748-2290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number042752
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: