Individual
DR. KENNETH KOCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
26 IBM RD, SUITE 105, POUGHKEEPSIE, NY 12601-5427
(845) 462-8200
Mailing address
26 IBM RD, SUITE 105, POUGHKEEPSIE, NY 12601-5427
(845) 462-8200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009735
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C097354
NYS WORKER'S COMPENSATION
NY
01
—
X009735
STATE LICENSE
NY
Enumeration date
08/18/2006
Last updated
07/08/2007
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