Provider Demographics
NPI:1942893508
Name:POCHE, KARA
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:POCHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:449 BEN HUR RD # APPT3211
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70820-4100
Mailing Address - Country:US
Mailing Address - Phone:985-400-1447
Mailing Address - Fax:
Practice Address - Street 1:229 DONOVAN CT
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-6452
Practice Address - Country:US
Practice Address - Phone:985-400-1447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician