Individual
JARED ADAM KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256-4621
(317) 621-5000
Mailing address
601 WALLACE AVE, INDIANAPOLIS, IN 46201-2927
(317) 532-7389
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
28255887A
IN
Other
Enumeration date
11/23/2023
Last updated
11/23/2023
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