Individual
DAWN ELIZABETH KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
521 E MAIN ST, MOUNT STERLING, IL 62353-1378
(217) 223-1200
Mailing address
521 E MAIN ST, MOUNT STERLING, IL 62353-1378
(217) 223-1200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023160
IL
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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