Individual provider · Type 1 NPI

Nicole Koch

Medical Physician Assistant · Kensington, MD

NPI number 1043463680 Active

Practice location

10400 Connecticut Ave, Ste 606
Kensington, MD 20895-3910

Fax (301) 917-6501

Mailing address

2415 Musgrove Rd 3105
Silver Spring, MD 20904-5202

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0003886 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1043463680

Nicole Koch's National Provider Identifier is 1043463680, issued on Oct 28, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Kensington, MD. The record was last updated on Dec 9, 2015.