Individual
KELLIE A KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 W OAK ST, FORT COLLINS, CO 80521-2612
(970) 494-4300
Mailing address
125 CRESTRIDGE ST, FORT COLLINS, CO 80525-3934
(970) 494-9761
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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