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Ms. Kimberly S Koch, MS,SLP
Student in an Organized Health Care Education/Training Program in Lindenhurst, New York
NPI 1699917112

Kimberly S Koch is a Student in an Organized Health Care Education/Training Program based in Lindenhurst, NY. Kimberly S Koch practices in Lindenhurst, NY and has the professional credentials of MS,SLP. The NPI Number for Kimberly S Koch is 1699917112 and holds a License No. (New York).

The current practice location address for Kimberly S Koch is 887 Kellum St, Lindenhurst, NY and can be reached out via phone at 631-884-3000 and via fax at 631-884-1959.

Location: 887 Kellum St, Lindenhurst, NY, 11757-1508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699917112
Provider Name
Kimberly S Koch
Credential
MS,SLP
Provider Entity Type
Individual
Gender
Female
Address
887 Kellum St, Lindenhurst, NY, 11757-1508
Phone Number
631-884-3000
Fax Number
631-884-1959
Provider Enumeration Date
03/30/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
887 Kellum St
City
Lindenhurst
State
New York
Zip
11757-1508
Phone Number
631-884-3000
Fax Number
631-884-1959
person
Provider Business Mailing Address Details
Address
887 Kellum St
City
Lindenhurst
State
New York
Zip
11757-1508
Phone Number
631-884-3000
Fax Number
631-884-1959
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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