Individual
MRS. KRISTEN MARIE KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 354-4173
Mailing address
459 APPLETON ST, ARLINGTON, MA 02476-7050
(413) 374-1667
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AP2633
MA
Other
Enumeration date
01/22/2009
Last updated
08/12/2009
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