Zachary Oltman
Technician, Other in Kennett, MO. Individual provider (NPI-1).
NPI number1508304130
StatusActive
Last updated in NPPESFeb 2, 2017
Details
- NPI
- 1508304130
- Entity type
- Individual (NPI-1)
- Name
- Zachary Oltman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2017
- Last updated
- Feb 2, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
1109 Jones StKennett, MO 63857-3824
Phone 573-888-2584
Mailing address
1109 Jones StKennett, MO 63857-3824
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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