Individual
KENNETH ROBERT KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3449 E PLANKINTON AVE, CUDAHY, WI 53110-1413
(414) 483-1060
(414) 483-1847
Mailing address
3449 E PLANKINTON AVE, CUDAHY, WI 53110-1413
(414) 483-1060
(414) 483-1847
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
WI1992012
WI
Other
Enumeration date
12/23/2005
Last updated
08/15/2011
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