Basic Information
| Provider Information | |||||||||
| NPI: | 1346299724 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KOCHER | ||||||||
| FirstName: | JARED | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1510 | ||||||||
| Address2: | |||||||||
| City: | EVANSVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 477061510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8127533942 | ||||||||
| FaxNumber: | 8127686283 | ||||||||
| Practice Location | |||||||||
| Address1: | 802 E OAK ST | ||||||||
| Address2: | |||||||||
| City: | FORT BRANCH | ||||||||
| State: | IN | ||||||||
| PostalCode: | 476481666 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8127533942 | ||||||||
| FaxNumber: | 8127686283 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2006 | ||||||||
| LastUpdateDate: | 06/29/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 01071228A | IN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.