Individual
DR. ELIZABETH V KAUTZ KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1569 JEFFERSON HWY, SUITE 105, FISHERSVILLE, VA 22939-2277
(540) 943-0022
(540) 942-3330
Mailing address
1569 JEFFERSON HWY, SUITE 105, FISHERSVILLE, VA 22939-2277
(540) 943-0022
(540) 942-3330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001250
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261199
ANTHEM PROVIDER #
VA
01
—
269523
SOUTHERN HEALTH PROVIDER
VA
Enumeration date
10/24/2006
Last updated
12/06/2010
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