Organization
K AND L MEDICAL, LLC
Active
Other names
Koth Orthopedics and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN KOTH D.O. (CEO)
(330) 442-5815
Entity
Organization
Contact information
Practice address
12866 TROXLER AVE, HIGHLAND, IL 62249-2806
(618) 900-1070
(833) 992-2437
Mailing address
PO BOX 160, TROY, IL 62294-0160
(618) 900-1070
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
03/14/2024
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