MS. KIMBERLY S KOCH M.S., SLP
NPI 1699917112
Student in an Organized Health Care Education/Training Program in Lindenhurst, NY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 30, 2009

887 KELLUM ST, LINDENHURST, NY 11757(631) 884-3000(631) 884-1959 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Ms. Kimberly S Koch M.s., Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLY S KOCH M.S., SLP (NPI 1699917112) is an individual student in an organized health care education/training program in Lindenhurst, New York and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1699917112

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMS. KIMBERLY S KOCHCredential: M.S., SLP

Location Address887 KELLUM STLindenhurst, NY 11757-1508

Mailing Address887 Kellum StLindenhurst, NY 11757-1508 · (631) 884-3000 · Fax (631) 884-1959

Phone(631) 884-3000

Fax(631) 884-1959

Sole ProprietorNo

Enumeration DateMarch 30, 2009

✔ NPI 1699917112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

887 KELLUM ST, Lindenhurst, NY 11757

Open in Google Maps ↗