Provider Demographics
NPI:1134842511
Name:KOCH, CINDY L (RDMS)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:L
Last Name:KOCH
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35748 E RIVER DR
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-6885
Mailing Address - Country:US
Mailing Address - Phone:410-218-0564
Mailing Address - Fax:
Practice Address - Street 1:995 N DUPONT BLVD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1072
Practice Address - Country:US
Practice Address - Phone:302-422-2612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography