Individual provider · Type 1 NPI

Averi Jan Kotnour, PA-C

Medical Physician Assistant · La Crosse, WI

NPI number 1386920072 Active

Practice location

1836 South Ave
La Crosse, WI 54601-5429

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2871 (WI)
Physician Assistant 363A00000X287123 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1386920072

Averi Jan Kotnour, PA-C's National Provider Identifier is 1386920072, issued on Oct 26, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in La Crosse, WI. The record was last updated on Apr 22, 2016.