Dr. Kathryn Dittmer, DVM
Specialist in Portage, IN. Individual provider (NPI-1).
NPI number1679010342
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1679010342
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kathryn Dittmer
- Credential
- DVM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2017
- Last updated
- Mar 7, 2023
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 |
|---|---|---|---|---|
| 174400000X | Specialist | 24007755A | IN | Yes |
Practice location
3411 Airport RdPortage, IN 46368-5107
Phone 219-763-3311
Mailing address
3411 Airport RdPortage, IN 46368-5107
Phone 219-763-3311
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