Individual
KIRSTEN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3805 EDWARDS RD STE 360, CINCINNATI, OH 45209
(513) 871-7848
(513) 871-3278
Mailing address
3805 EDWARDS RD STE 360, CINCINNATI, OH 45209-1934
(513) 871-7848
(513) 871-3278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-133807
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0288732
—
OH
05
—
7100537860
—
KY
Enumeration date
03/30/2015
Last updated
10/29/2020
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