| Mrs Kim Ilene Koch, MS/CCC-SLP | |
|
1284 Los Meadows Dr, Las Vegas, NV 89110-1904 | |
| (702) 278-3022 | |
| Not Available |
| Full Name | Mrs Kim Ilene Koch |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1284 Los Meadows Dr, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164687844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP290 (Nevada) | Primary |
| Provider Name | Tiltons Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235799941 PECOS PAC ID: 7719219948 Enrollment ID: O20191021002923 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kim Ilene Koch, MS/CCC-SLP 1284 Los Meadows Dr, Las Vegas, NV 89110-1904 Ph: (702) 431-6973 | Mrs Kim Ilene Koch, MS/CCC-SLP 1284 Los Meadows Dr, Las Vegas, NV 89110-1904 Ph: (702) 278-3022 |
Crystal Lee Clover, MS-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8540 S Eastern Ave, Suite 180, Las Vegas, NV 89123 Phone: 702-733-8255 Fax: 702-737-8255 | |
Jameyan Miller, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 7312 W Cheyenne Ave, Suite 4, Las Vegas, NV 89129 Phone: 702-203-7504 | |
Allie Christine Elwell, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1333 N Buffalo Dr Unit 260, Las Vegas, NV 89128 Phone: 702-979-4268 Fax: 702-979-4268 | |
Marta Ponce Moreno, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10544 Valdosta Ave, Las Vegas, NV 89129 Phone: 267-213-9712 | |
Ashlend Rodriguez, M.A., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 11091 Kilkerran Ct, Las Vegas, NV 89141 Phone: 702-381-1839 | |
Jennie Lynn, M.A. CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6152 Calm Breeze Ave, Unit 103, Las Vegas, NV 89108 Phone: 702-645-8243 | |
Ms. Kasey L Thomas, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2832 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-735-5848 |