MRS. NICOLE KOCH NPI 1043463680

NPI Information

NPI: 1043463680
Provider Name: MRS. NICOLE KOCH
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
10400 CONNECTICUT AVE
STE 606
KENSINGTON, MD
ZIP 20895
Phone: (301) 942-2212
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MRS. Nicole Koch is a medical physician assistant in Kensington, MD. MRS. Nicole Koch NPI is 1043463680. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10400 CONNECTICUT AVE
STE 606
KENSINGTON, MD
ZIP 20895-910
Phone: (301) 942-2212
Fax: (301) 917-6501

The NPI 1043463680 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 12/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	C0003886	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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