Individual
MRS. LISA ANNE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
707 N EMPORIA ST, WICHITA, KS 67214-3707
(316) 268-5591
Mailing address
707 N EMPORIA ST, WICHITA, KS 67214-3707
(316) 268-5591
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
53-45853
KS
363L00000X
Nurse Practitioner
Primary
53-45853
KS
Other
Enumeration date
08/09/2006
Last updated
06/23/2025
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