IndividualActive
Kelly Koch, MD
NPI 1922458223 · Surgical Oncology Physician · Lakeland, FL
Provider details
- NPI number
- 1922458223
- Entity type
- Individual
- Primary specialty
- Surgical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2016017321 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone: (863) 687-1100
Approximate (ZIP-level) locationGet directions
Mailing address
660 S Euclid Ave
Saint Louis, MO 63110-1010
Additional practice locations (3)
- 455 Emerald AvenueLakeland, FL 33805Phone: (863) 687-1000
- 1324 Lakeland Hills BlvdLakeland, FL 33805Phone: (863) 687-1100
- 1 Barnes Jewish Hospital PlzSaint Louis, MO 63110-1003Phone: (314) 362-5000
Registry dates
- Enumerated
- 2016-06-16
- Last updated
- 2024-10-29
- Certified
- 2024-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.