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Individual

JENNIFER KAYE LANGE KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
405 S STATE ST, HUBBARD, IA 50122-9501
(641) 864-3301
(641) 864-3304
Mailing address
PO BOX 487, HUBBARD, IA 50122-0487
(641) 864-3301
(641) 864-3304

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
114592
IA
163WH0200X
Home Health Registered Nurse
114592
IA
363LF0000X
Family Nurse Practitioner
Primary
A114592
IA

Other

Enumeration date
02/19/2014
Last updated
01/08/2025
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