Individual provider · Type 1 NPI

Shannon Kotch

Licensed Practical Nurse · Lancaster, PA

NPI number 1245114628 Active

Practice location

2141 Oregon Pike
Lancaster, PA 17602-4604

Call (717) 617-2708 Map

Mailing address

174 Route 715 Broodheadsville, Pa 18322
Broodheadsville, PA 18322

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	PN280580 (PA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1245114628

Shannon Kotch's National Provider Identifier is 1245114628, issued on Jul 31, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lancaster, PA. The record was last updated on Jul 31, 2025.