Individual
DR. CAROLINE M KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2187 SWANSON AVE, LAKE HAVASU CITY, AZ 86403-6838
(928) 855-3432
(928) 757-3256
Mailing address
3707 N STOCKTON HILL RD STE B, KINGMAN, AZ 86409-0507
(928) 757-8111
(928) 757-3256
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17605
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277691
—
AZ
Enumeration date
09/23/2005
Last updated
09/12/2022
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