Individual
LYNSEY KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 W BUCHANAN ST, CLARKSVILLE, AR 72830-2252
(479) 754-6210
(800) 354-2182
Mailing address
1000 W BUCHANAN ST, CLARKSVILLE, AR 72830-2252
(479) 754-6210
(800) 354-2182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R093530
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103106724
—
AR
Enumeration date
05/06/2019
Last updated
05/06/2019
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