Individual
DR. JANE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4640 W LLOYD EXPY, EVANSVILLE, IN 47712-6517
(812) 422-4336
(812) 421-0994
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000732A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042551
ANTHEM PIN #
IN
01
—
480014795
TRAVELERS
—
Enumeration date
05/24/2005
Last updated
11/05/2020
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