Individual
COURTNEY LYNNE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12101 S CHALKLEY RD, CHESTER, VA 23831-3755
(804) 796-3636
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008651
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/10/2022
Last updated
11/16/2022
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