Individual
MS. KATHRYN L KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC HEMATOLOGY/ONCOLOGY, MILWAUKEE, WI 53226-4874
(414) 456-4170
(414) 805-1514
Mailing address
9200 W WISCONSIN AVE, NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-1514
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2213-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009000261T
HUMANA
—
05
—
1740231588
—
WI
Enumeration date
05/15/2006
Last updated
10/01/2020
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