Individual
DANIELLE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1248 HUFFMAN MILL RD STE 101, BURLINGTON, NC 27215-8700
(336) 890-3390
(336) 890-3391
Mailing address
1248 HUFFMAN MILL RD STE 101, BURLINGTON, NC 27215-8700
(336) 890-3390
(336) 890-3391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001017795
NC
363A00000X
Physician Assistant
PA.1500
AL
363AS0400X
Surgical Physician Assistant
Primary
0010-07795
NC
Other
Enumeration date
01/09/2018
Last updated
10/09/2024
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