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Dennis T Kochem Sr.

Orthotic Fitter in Hamilton, NY. Individual provider (NPI-1).

NPI number1174635270
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1174635270
Entity type
Individual (NPI-1)
Name
Mr. Dennis T Kochem Sr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 31, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225000000X Orthotic Fitter––Yes

Practice location

2409 Johnnycake Hill Rd.
Hamilton, NY 13346

Phone 315-824-4515 · Fax 315-824-4515

Mailing address

2409 Johnnycake Hill Rd.
Hamilton, NY 13346

Phone 315-824-4515 · Fax 315-824-4515

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