Individual
DR. DIANA L KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
919 CHAMBERS BLVD, STE A, BARDSTOWN, KY 40004-2573
(502) 348-6404
(502) 348-6342
Mailing address
919 CHAMBERS BLVD, STE A, BARDSTOWN, KY 40004-2573
(502) 348-6404
(502) 348-6342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7470
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60001278
—
KY
Enumeration date
03/12/2007
Last updated
07/09/2007
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