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Individual

KYLE A KOCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
111 S GRANT AVE FL 3, COLUMBUS, OH 43215-4701
(614) 566-9871
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
(419) 520-2495

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.020084
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0403976
OH
Enumeration date
01/30/2020
Last updated
03/29/2021
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