Polly A Koch, is a 
Speech-language Pathologist based in Delta, Missouri. Polly A Koch is licensed to practice in Missouri (license number 114678) and her current practice location is 
324 Liberty Street, Delta, Missouri. She can be reached at her office (for appointments etc.) via phone at 
(573) 794-2500.
NPI number for Polly A Koch is 1114171048 and her current mailing address is Po Box 787, Delta, Missouri. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114171048.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Polly A Koch | 
|---|
| Gender | Female | 
|---|
| Speciality | Speech-language Pathologist | 
|---|
| Location | 324 Liberty Street, Delta, Missouri | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1114171048
- Provider Enumeration Date: 11/05/2008
- Last Update Date: 11/05/2008
 
		 
		 
Medical Identifiers
		Medical identifiers for Polly A Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1114171048 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 235Z00000X | Speech-language Pathologist | 114678 (Missouri) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Polly A Koch is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Polly A Koch, Po Box 787,
 Delta, MO 63744-0787
 Ph: (573) 794-2500
 | Polly A Koch, 324 Liberty Street,
 Delta, MO 63744
 Ph: (573) 794-2500
 | 
		
		 
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