Individual
JENNIFER KOCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 ABRAHAM FLEXNER WAY, 220, LOUISVILLE, KY 40202-3841
(502) 589-6788
(502) 587-4146
Mailing address
501 E BROADWAY, 220, LOUISVILLE, KY 40202-1785
(502) 589-4856
(502) 589-5093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38642
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64080989
—
KY
Enumeration date
09/20/2005
Last updated
07/08/2007
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