Individual
ALLISON KOCH
Active
Individual
ALLISON KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9112163
FL
363AM0700X
Medical Physician Assistant
Primary
PA65916
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116099900
—
FL
01
—
D05S7
BCBS
FL
Enumeration date
05/15/2019
Last updated
03/10/2025
Update your record
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