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Individual

MR. DAVID E KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
1701 FRANKFORT RD, SHELBYVILLE, KY 40065-9451
(262) 620-1650
Mailing address
128 SHELLYS PL, SHELBYVILLE, KY 40065-9064
(262) 620-1650

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1936
KY

Other

Enumeration date
08/23/2023
Last updated
08/23/2023
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