Charles L. Kock, PA-C Valid NPI

Individual provider · Surgical Physician Assistant · Houma, LA

NPI

1356326631

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

A10076 (LA)

Sex

Male

Sole proprietor

No

Enumerated

2005-12-09

Last updated

2015-01-06