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Kevin G. Koth, DO
Orthopedic Surgery Physician in Highland, Illinois
NPI 1972798049

Kevin G. Koth is a Orthopedic Surgery Physician based in Troy, IL. Kevin G. Koth practices in Highland, IL and has the professional credentials of DO. The NPI Number for Kevin G. Koth is 1972798049 and holds a License No. 03476 (Illinois).

The current practice location address for Kevin G. Koth is 12866 Troxler Ave, Highland, IL and can be reached out via phone at 618-900-1070 and via fax at 833-992-2437.

Location: 12866 Troxler Ave, Highland, IL, 62294-0160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972798049
Provider Name
Kevin G. Koth
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
12866 Troxler Ave, Highland, IL, 62294-0160
Phone Number
618-900-1070
Fax Number
833-992-2437
Provider Enumeration Date
09/11/2007
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201114320A 05 IN
036-132543 05 IL
000000777934 01 KY ANTHEM
7100213750 05 KY
institution
Provider Business Practice Location Address Details
Address
12866 Troxler Ave
City
Highland
State
Illinois
Zip
62249-2806
Phone Number
618-900-1070
Fax Number
833-992-2437
person
Provider Business Mailing Address Details
Address
12866 Troxler Ave
City
Highland
State
Illinois
Zip
62249-2806
Phone Number
618-900-1070
Fax Number
833-992-2437
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
02003992A (Indiana)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
03476 (Kentucky)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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