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Mr. Charles L. Kock, PA-C
Surgical Physician Assistant in Houma, Louisiana
NPI 1356326631

Charles L. Kock is a Surgical Physician Assistant based in Houma, LA and is specialized in Surgical. Charles L. Kock practices in Houma, LA and has the professional credentials of PA-C. The NPI Number for Charles L. Kock is 1356326631 and holds a License No. A10076 (Louisiana).

The current practice location address for Charles L. Kock is 201 Denning Dr, Houma, LA and can be reached out via phone at 985-855-4829.

Location: 201 Denning Dr, Houma, LA, 70360
person
Provider Profile Details
NPI Number
1356326631
Provider Name
Charles L. Kock
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
201 Denning Dr, Houma, LA, 70360
Phone Number
985-855-4829
Fax Number
Provider Enumeration Date
12/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970006535 01 LA RR MEDICARE
1624845 05 LA
institution
Provider Business Practice Location Address Details
Address
201 Denning Dr
City
State
Zip
70360-3977
Phone Number
985-855-4829
Fax Number
person
Provider Business Mailing Address Details
Address
201 Denning Dr
City
State
Zip
70360-3977
Phone Number
985-855-4829
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
A10076 (Louisiana)
Definition
Definition to come...
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