Provider Demographics
NPI:1730133109
Name:KOCHMAN, BEN R (PA-C)
Entity Type:Individual
Prefix:
First Name:BEN
Middle Name:R
Last Name:KOCHMAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:10359 N FEDERAL BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80260
Mailing Address - Country:US
Mailing Address - Phone:303-404-0200
Mailing Address - Fax:303-404-2828
Practice Address - Street 1:10359 N FEDERAL BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80260
Practice Address - Country:US
Practice Address - Phone:303-404-0200
Practice Address - Fax:303-404-2828
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2014-06-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO1655363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant