Individual
DR. CAROL KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD, CCC-SLP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3760
(816) 234-3291
Mailing address
16251 W 77TH ST, SHAWNEE, KS 66217-3003
(816) 234-3760
(816) 234-3291
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006027164
MO
235Z00000X
Speech-Language Pathologist
2466
KS
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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