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NPI Code Detail

MEDICARE: KENDALL COTCHAN PA-C

MEDICARE: KENDALL COTCHAN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA.9386CO
2207P00000XEmergency Medicine Physician25MP00760100NJ

General Provider Information

NPI Number : 1396441325
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDALL COTCHAN PA-C
Provider Business Mailing Address
First Line : 10 BUCKS DR
Second Line :
City : BARNEGAT
State : NJ
Zip : 08005-2029
Country : US
Telephone Number : 732-236-4696
Fax Number :
Provider Business Practice Location Address
First Line : 777 BANNOCK ST
Second Line :
City : DENVER
State : CO
Zip : 80204-4597
Country : US
Telephone Number : 303-436-4949
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2023
Last Update Date : 05/01/2026

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Directions to “ KENDALL COTCHAN PA-C” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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