Individual
LYNNIECE A KOCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8600 N KENTUCKY AVENUE, EVANSVILLE, IN 47722
(812) 426-9565
(812) 426-9572
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 426-9565
(812) 426-9572
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004919A
IN
207Q00000X
Family Medicine Physician
11018352A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201295580
—
IN
Enumeration date
06/11/2015
Last updated
07/13/2018
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