SearchKentucky122300000X

Jason Koch, D.M.D

NPI 1649459264 · on the registry since 2007 · sole proprietor

Practice

Address
95 Raywick Rd
St Mary, KY 40063
Phone
(270) 699-4074

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-10-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky