Basic Information
Provider Information
NPI: 1538600929
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KOTCH
FirstName: KAYLA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 183 ROBERT ST
Address2:  
City: NANTICOKE
State: PA
PostalCode: 186342015
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1000 E MOUNTAIN BLVD
Address2:  
City: WILKES BARRE
State: PA
PostalCode: 187110027
CountryCode: US
TelephoneNumber: 5708087300
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/17/2017
LastUpdateDate: 03/17/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1835C0205XRP448723PAY    

No ID Information.


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