MISS KACI ALLISON OETJEN NPI 1194393918

NPI Information

  • NPI: 1194393918
  • Provider Name: MISS KACI ALLISON OETJEN
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1357 OCONEE CONNECTOR BLDG 300
    WATKINSVILLE, GA
    ZIP 30677
  • Phone: (706) 549-8306

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NPI Details

MISS Kaci Allison Oetjen is a surgical physician assistant in Watkinsville, GA with 5 years of experience. MISS Kaci Allison Oetjen NPI is 1194393918. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1357 OCONEE CONNECTOR BLDG 300
WATKINSVILLE, GA
ZIP 30677-314
Phone: (706) 549-8306
Fax: (706) 549-4099

The NPI 1194393918 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/17/2021 and was last updated on 2/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical10703GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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