Kenneth Robert Koch, DC

NPI #1386621050 in Cudahy, Wisconsin

Provider Information

NPI Number: 1386621050
Entity Type: Individual
Name: Kenneth Robert Koch, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Dec 23, 2005
Last Updated: Aug 15, 2011

Practice Location

Address: 3449 E PLANKINTON AVE
City: Cudahy
State: Wisconsin
ZIP Code: 53110-1413
Phone: (414) 483-1060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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