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NPI Code Detail

MEDICARE: KEVIN J KOCH NP

MEDICARE: KEVIN J KOCH NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WN0800XNeuroscience Registered Nurse26691MT
2363L00000XNurse Practitioner103781MT

General Provider Information

NPI Number : 1437451168
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN J KOCH NP
Provider Business Mailing Address
First Line : 1041 N 29TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0731
Country : US
Telephone Number : 406-237-5577
Fax Number :
Provider Business Practice Location Address
First Line : 1041 N 29TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0731
Country : US
Telephone Number : 406-237-5577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2010
Last Update Date : 06/23/2016

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