| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JENNIFER L KOCH | 1952587040 | 2024-01-07 |
Jennifer L Koch is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1952587040. Registration indicates Jennifer L Koch is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietitian, Registered (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers) (Dietary & Nutritional Service Providers, Dietitian, Registered) (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers)
| Entity Type | Individual |
| Provider Name | Jennifer L Koch R.D. |
| Other Provider Name | Jennifer Stremcha |
| Practice Office Address | 216 7TH ST BARABOO, WI US |
| Practice Office Telephone | 8604054155 |
| Mailing Address | 216 7TH ST BARABOO, WI 539132154 US |
| Business Telephone | 8604054155 |
| Code | Practice | License No State |
|---|---|---|
| 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers | 1929-29
WI |
| 133V00000X PRIMARY | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers | 928917
|