Alisha Renae Koch ARNP

NPI 1710279872 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1710279872
Gender Female
Enumeration Date 05/09/2011
Last Updated 05/09/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
619 S CLARK AVE
LYONS KS, 67554-3003, US
Phone (620) 257-7150
Fax
Business Location
619 S CLARK AVE
P.O. BOX 828
LYONS KS, 67554-3003, US
Phone (620) 257-7150
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Kansas
License Number 1496664061
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According to our database, Mrs. Alisha Renae Koch ARNP NPI is 1710279872, taxonomy code is 363LF0000X and license number is 1496664061, license state is located at Kansas. Alisha Renae Koch ARNP physically located at 619 S Clark Ave, Lyons KS, 67554-3003. NPI Number Alisha Renae Koch ARNP has the Individual type.

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1710279872 NPI number is provided on an as is basis without warranty of any kind. 1710279872 is maintained by the National Plan & Provider Enumeration System. The contents of Alisha Renae Koch ARNP are for informational purposes only.