Individual
DR. LINDSEY RAE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
5124 S WESTERN AVE, SUITE 4, SIOUX FALLS, SD 57108-5047
(605) 275-5545
(605) 275-5546
Mailing address
5124 S WESTERN AVE, SUITE 4, SIOUX FALLS, SD 57108-5047
(605) 275-5545
(605) 275-5546
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
375A
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
375A
SD LICENSE
SD
01
—
P00902392
RAILROAD MEDICARE
—
Enumeration date
10/15/2010
Last updated
06/05/2012
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