Individual
DR. ADRIENNE J KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
13737 SPOTSWOOD TRL, ELKTON, VA 22827-3200
(540) 713-4100
(757) 579-8587
Mailing address
13737 SPOTSWOOD TRL, ELKTON, VA 22827-3200
(540) 713-4100
(757) 579-8587
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102203475
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11849191777
—
VA
Enumeration date
06/17/2011
Last updated
07/21/2021
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