Individual provider Active NPI

Kelsey Lynn Kocher

  • Physical Medicine & Rehabilitation Physician
  • Dewitt, MI
National Provider Identifier
1134773377
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5502005681 Issued in MI
Practice address
13599 Honeylocust Dr
Dewitt, MI 48820-9052
Phone
(517) 899-7691
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5502005681 MI Primary

Addresses

Primary practice location

13599 Honeylocust Dr
Dewitt, MI 48820-9052

Mailing address

13599 Honeylocust Dr
Dewitt, MI 48820-9052
Phone (517) 899-7691

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL KLK

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5502005681MIMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1134773377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13599 HONEYLOCUST DR",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209052",
            "telephone_number": "517-899-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13599 HONEYLOCUST DR",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209052",
            "telephone_number": "517-899-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHER",
        "first_name": "KELSEY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5502005681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KLK",
            "affiliation": "N",
            "address_1": "13599 Honeylocust Dr",
            "city": "DeWitt",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488209052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dewitt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.