Individual
KELLY LOUISE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
10909 MILL VALLEY RD STE 210, OMAHA, NE 68154-3950
(402) 391-5002
(402) 343-1278
Mailing address
PO BOX 5631, GRAND ISLAND, NE 68802-5631
(308) 646-0002
(308) 210-4121
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1631
NE
Other
Enumeration date
06/25/2015
Last updated
04/25/2024
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