Organization
KOCHERT PAIN INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN KOCHERT MD (PHYSICIAN)
(765) 446-5055
Entity
Organization
Contact information
Practice address
3218 DAUGHERTY DR, SUITE 110, LAFAYETTE, IN 47909-3997
(765) 446-5055
(765) 446-5057
Mailing address
3218 DAUGHERTY DR, SUITE 110, LAFAYETTE, IN 47909-3997
(765) 446-5055
(765) 446-5057
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
01031275A
IN
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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