Dennis T Kochem Sr.
Individual provider Active NPI Orthotic Fitter · Hamilton, NY
NPI 1174635270 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1174635270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthotic Fitter 225000000X
- Practice address
- 2409 Johnnycake Hill Rd.
Hamilton, NY 13346 - Phone
- (315) 824-4515
- Fax
- (315) 824-4515
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | Yes |
Addresses
Primary practice location
2409 Johnnycake Hill Rd.
Hamilton, NY 13346
Mailing address
2409 Johnnycake Hill Rd.
Hamilton, NY 13346
Phone (315) 824-4515
Other providers in Hamilton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.