Individual
KYLE R. KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
6612 E MILL PLAIN BLVD, VANCOUVER, WA 98661-7458
(360) 695-8742
(360) 696-6721
Mailing address
6612 E MILL PLAIN BLVD, VANCOUVER, WA 98661-7458
(360) 695-8742
(360) 696-6721
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA60511045
WA
237700000X
Hearing Instrument Specialist
HAS-P-10130363
OR
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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