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Organization

KOCH AUDIOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREA STOUT KOCH AU.D. (OWNER)
(317) 464-9067
Entity
Organization

Contact information

Practice address
915 N WESTERN AVE, MARION, IN 46952-2505
(765) 664-3470
Mailing address
915 N WESTERN AVE, MARION, IN 46952-2505
(765) 664-3470

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
23002390A
IN

Other

Enumeration date
05/22/2012
Last updated
05/22/2012
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