NPI 1033689666

Colton A. Koch

Practitioner Athletic Trainer McLouth, KS

Practice location

Address: 17550 K16 Hwy, McLouth, KS 66054
Phone: (913) 689-9650

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence NONE

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Registry record

NPI: 1033689666
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Nov 2018
Record last updated: 27 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.