Individual
ROBERT HERMAN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 JACKSON RD, BOONVILLE, MO 65233-2845
(660) 882-3585
(660) 882-3709
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R7E21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202141909
—
MO
01
—
2086773801
KANSAS MEDICAID
KS
Enumeration date
06/01/2006
Last updated
05/04/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us