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NPI Code Detail

MEDICARE: RICHARD A KOTNIK

MEDICARE: RICHARD A KOTNIK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1457202954
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD A KOTNIK
Provider Business Mailing Address
First Line : 2005 ASHLAND AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43620-1703
Country : US
Telephone Number : 419-841-7701
Fax Number :
Provider Business Practice Location Address
First Line : 905 NEBRASKA AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43607-4222
Country : US
Telephone Number : 419-841-7701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ RICHARD A KOTNIK ” Practice Location

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