Cora Koch, BSN, RN, IBCLC

Individual provider Active NPI Lactation Consultant (Registered Nurse) · Tecumseh, KS

NPI 1134501166 · NPPES record last updated Jun 25, 2015

Key facts

NPI
1134501166
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Registered Nurse) 163WL0100X
License
14-96665-011 (KS)
Practice address
3221 SE Magnolia LN
Tecumseh, KS 66542-9599
Phone
(785) 213-8231
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
14-96665-011KSMDLactation Consultant (Registered Nurse)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 14-96665-011 KS Yes

Addresses

Primary practice location

3221 SE Magnolia LN
Tecumseh, KS 66542-9599

Mailing address

3221 SE Magnolia LN
Tecumseh, KS 66542-9599
Phone (785) 213-8231

Other providers in Tecumseh, KS

All providers in Tecumseh, KS · Lactation Consultant (Registered Nurse) in Kansas

Sources for this page

Verify at the official NPI Registry.