Provider Demographics
NPI:1568356889
Name:KOSCHE, ALEXANDER R
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:R
Last Name:KOSCHE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 W GETTYSBURG AVE APT 245B
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-4283
Mailing Address - Country:US
Mailing Address - Phone:708-625-5218
Mailing Address - Fax:
Practice Address - Street 1:440 W GETTYSBURG AVE APT 245B
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-4283
Practice Address - Country:US
Practice Address - Phone:708-625-5218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program