Individual
HALIE N KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 COLLARD LN, HARDINSBURG, KY 40143-4899
(270) 883-5547
Mailing address
100 AFFIRMED CT, ELIZABETHTOWN, KY 42701-4424
(502) 396-2575
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KY
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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