Individual provider · Type 1 NPI
Kenneth G. Koch, DC
Chiropractor · San Diego, CA
NPI number
1649466053
Active
Practice location
9484 Black Mountain Rd, Ste I
San Diego, CA 92126-4520
Mailing address
9484 Black Mountain Rd Ste I
San Diego, CA 92126-4520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC14114 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1649466053
Kenneth G. Koch, DC's National Provider Identifier is 1649466053, issued on Sep 19, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Diego, CA. The record was last updated on Sep 19, 2007.