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1427488329
STACY KOCH
LOUISVILLE, KY
NPI
1427488329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3008157)
Enumeration Date
2013-11-14
Last Update Date
2023-04-28
Business Address
STACY KOCH APRN
3594 SPRINGHURST BLVD
LOUISVILLE, KY 40241-4141
Phone number: 502-559-3636
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Mailing Address
STACY KOCH APRN
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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