Individual
DR. JACK L. KOCH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1507 16TH AVE S, NASHVILLE, TN 37212-2905
(615) 515-7775
(615) 523-1483
Mailing address
1507 16TH AVE S, NASHVILLE, TN 37212-2905
(615) 515-7775
(615) 523-1483
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27427
TN
2084P0804X
Child & Adolescent Psychiatry Physician
27427
TN
Other
Enumeration date
06/28/2005
Last updated
01/13/2025
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