Individual
DR. KATHRYN ANN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(352) 351-7200
Mailing address
PO BOX 3130, OCALA, FL 34478-3130
(352) 867-8311
(352) 867-1053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME40104
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME40104
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000282906A
—
GA
05
—
004947300
—
FL
01
—
110055915
RAILROAD MEDICARE
FL
01
—
15699
BCBS OF FL
FL
01
—
P00794327
RR MEDICARE
FL
Enumeration date
03/21/2006
Last updated
07/05/2012
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