Individual
MRS. ALISHA RENAE KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
619 S CLARK AVE, LYONS, KS 67554-3003
(620) 257-7150
Mailing address
619 S CLARK AVE, P.O. BOX 828, LYONS, KS 67554-3003
(620) 257-7150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1496664061
KS
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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