# K AND L MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Koth Orthopedics and Spine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013516897
- **Authorized official:** DR. KEVIN KOTH D.O. (CEO)
- **Authorized official phone:** (330) 442-5815

## Contact information

- **Practice address:** 12866 TROXLER AVE, HIGHLAND, IL 62249-2806
- **Practice address phone:** (618) 900-1070
- **Practice address fax:** (833) 992-2437
- **Mailing address:** PO BOX 160, TROY, IL 62294-0160
- **Mailing address phone:** (618) 900-1070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2020
- **Last updated:** 03/14/2024