Individual
DR. DARRYL LAWRENCE KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8 ESSEX WAY, STE 204, ESSEX JUNCTION, VT 05452-3422
(802) 872-9788
(802) 879-0370
Mailing address
8 ESSEX WAY, STE 204, ESSEX JUNCTION, VT 05452-3422
(802) 872-9788
(802) 878-1209
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006-0001141
VT
111N00000X
Chiropractor
X08954
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN3616
—
VT
Enumeration date
04/28/2006
Last updated
08/17/2017
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