| Doctor Name: | CORA KOCH |
| NPI Number: | 1134501166 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN, RN, IBCLC |
| License Number: | 14-96665-011 |
| Business Practice Address: | 3221 Se Magnolia Ln Tecumseh, KS - 665429599 |
| Business Phone Number: | 7852138231 |
| Business Fax Number: | |
| Mailing Address: | 3221 Se Magnolia Ln, TECUMSEH |
| State: | KS |
| Postal Code: | 665429599 |
| Phone Number: | 7852138231 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2015 |
| NPI Last Update Date: | 06/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | 14-96665-011 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |