Kristin N Koch | Middletown, NY • PECOS Search

Kristin N Koch

Specialist

Other Service Providers

75 Crystal Run Rd, Middletown, NY 10941-7000

PECOS Enrollment

Based on the most recent information from CMS, provider Kristin N Koch does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1992336960
Provider Type
Individual
Full Name
Koch, Kristin N
Gender
Female

Sole Proprietor
No
Enumeration Date
1/29/2020
Last Updated
1/29/2020

Contact Information

Practice Location

75 Crystal Run Rd, Middletown, NY 10941-7000

Unlisted Fax

Mailing Location

75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer