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NPI Code Detail

MEDICARE: EMMA KOCH PA-C

MEDICARE: EMMA KOCH PA-C
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
1363A00000XPhysician Assistant15-03177KS

General Provider Information

NPI Number : 1649150566
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA KOCH PA-C
Provider Business Mailing Address
First Line : 1320 N MOUNT CARMEL CIR
Second Line :
City : WICHITA
State : KS
Zip : 67203-6653
Country : US
Telephone Number : 785-764-3430
Fax Number :
Provider Business Practice Location Address
First Line : 3121 N WEBB RD
Second Line :
City : WICHITA
State : KS
Zip : 67226-8119
Country : US
Telephone Number : 316-261-3130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2025
Last Update Date : 12/31/2025

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Directions to “ EMMA KOCH PA-C” Practice Location

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