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Individual

HOSEA KIBET KOECH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1703 LAUREL ST, COLUMBIA, SC 29201-2660
(803) 395-2200
Mailing address
1800 KILLIAN LAKES DR APT 8309, COLUMBIA, SC 29203-8857
(803) 363-4361

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
27355
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27355
SC

Other

Enumeration date
05/18/2023
Last updated
12/02/2024
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