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Individual

MRS. DENA RENAE KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
3430 NEWBURG RD STE 210, LOUISVILLE, KY 40218-2458
(502) 454-8800
Mailing address
3430 NEWBURG RD STE 210, LOUISVILLE, KY 40218-2458
(502) 415-1369

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4006998
KY

Other

Enumeration date
07/07/2023
Last updated
07/07/2023
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