Individual
JESSICA ANNE KOTOPKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2091 BOX BUTTE AVE STE 700, ALLIANCE, NE 69301
(308) 762-7244
(308) 762-6657
Mailing address
2091 BOX BUTTE AVE STE 700, ALLIANCE, NE 69301
(308) 762-7244
(308) 762-6657
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
2704
NE
363A00000X
Physician Assistant
2704
NE
Other
Enumeration date
01/25/2022
Last updated
07/12/2024
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