Individual
MRS. JANE C KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2000 MON HEALTH MEDICAL PARK DR STE 2100, MORGANTOWN, WV 26505
(304) 599-6811
(304) 599-7159
Mailing address
2000 MON HEALTH MEDICAL PARK DR STE 2100, MORGANTOWN, WV 26505-1134
(304) 599-6811
(304) 599-7159
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
30529
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710733
BCBS
WV
05
—
0092224000
—
WV
Enumeration date
04/11/2006
Last updated
08/14/2018
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