Provider Demographics
NPI:1669276325
Name:KOTLINSKI, HENRY JOHN II (DO)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:JOHN
Last Name:KOTLINSKI
Suffix:II
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 W. 86TH STREET
Mailing Address - Street 2:MEDICAL EDUCATION 1 NORTH
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260
Mailing Address - Country:US
Mailing Address - Phone:317-338-6399
Mailing Address - Fax:317-338-6359
Practice Address - Street 1:2001 W. 86TH STREET
Practice Address - Street 2:MEDICAL EDUCATION 1 NORTH
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260
Practice Address - Country:US
Practice Address - Phone:317-338-6399
Practice Address - Fax:317-338-6359
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program