Individual
KATRINA ANN KOTCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 HAMILTON BLVD, ALLENTOWN, PA 18103-3630
(610) 776-4304
Mailing address
518 LACKAWANNA ST, JERMYN, PA 18433-1215
(570) 335-5714
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003690
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/08/2020
Last updated
07/01/2021
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