Individual
ALEXIS KOTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS, PA-C
Contact information
Practice address
440 PIERCE ST, KINGSTON, PA 18704-5500
(570) 287-1122
Mailing address
440 PIERCE ST, KINGSTON, PA 18704-5500
(570) 287-1122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062912
PA
Other
Enumeration date
09/16/2021
Last updated
10/11/2022
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