Individual
HAYLEY DAWN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
575 COAL VALLEY RD STE 105, JEFFERSON HILLS, PA 15025-3723
(412) 359-8900
(412) 359-8977
Mailing address
575 COAL VALLEY RD STE 105, JEFFERSON HILLS, PA 15025-3723
(412) 359-8900
(412) 359-8977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059215
PA
363A00000X
Physician Assistant
OA004221
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103368995
—
PA
01
—
14097479
CAQH
—
Enumeration date
06/02/2017
Last updated
07/03/2024
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