Individual
WILLIAM R KOCK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100
Mailing address
3234 BLUE ROCK RD, CINCINNATI, OH 45239-6100
(513) 404-5513
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
379272
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379272
—
OH
Enumeration date
03/06/2023
Last updated
03/06/2023
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