Individual
ANDREW WILLIAM KOCH
Active
Individual
ANDREW WILLIAM KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
011275
OH
225100000X
Physical Therapist
Primary
004871
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100028250
—
KY
Enumeration date
11/22/2005
Last updated
11/06/2015
Update your record
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