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Individual

MS. JANELLE MACKENZIE KOTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2104 HARRISBURG PIKE STE 200, LANCASTER, PA 17601-2644
(717) 544-3626
(717) 544-3628
Mailing address
2104 HARRISBURG PIKE STE 200, LANCASTER, PA 17601-2644
(717) 544-3626
(717) 544-3628

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063178
PA

Other

Enumeration date
10/02/2021
Last updated
06/30/2022
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