Koch, Lisa Anne

Koch, Lisa Anne is an individual health care provider with primary practice located at 848 N Saint Francis St Ste 2945 , Wichita KS 67214-3856. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Koch, Lisa Anne can be contacted via phone (316) 268-5591.

Contact Information

Primary practice address
848 N Saint Francis St Ste 2945 Wichita KS 67214-3856
Phone: (316) 268-5591
Fax: (316) 291-7890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 53-45853 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 53-45853 Kansas

Profile Details

NPI number 1093725905
LBN Legal business name Koch, Lisa Anne
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Dec 4th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093725905 NPPES
Oklahoma MEDICAID 200287340A
Oklahoma MEDICAID 200402630J

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