Individual
DR. KELLY KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., CCC-SLP
Contact information
Practice address
3919 HIGHWAY 14, NEW IBERIA, LA 70560
(337) 251-8267
Mailing address
114 LIETMEYER ST, NEW IBERIA, LA 70563-3049
(337) 251-8267
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7123
LA
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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