Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Koch, MD

Individual provider Surgery Physician · NPI 1922458223

Kelly Koch, MD is a Surgical Oncology in Lakeland, Florida. Graduated from University of Michigan Medical School in 2016, 10 years ago. Practices with Lakeland Regional Health Systems Inc, a 503-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida and Missouri.

Years since qualifying
10
Trained at
University of Michigan Medical School
Licensed in
FL, MO
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone: (863) 687-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1324 Lakeland Hills Blvd, Lakeland, FL 33805 — (863) 687-1100
  • 455 Emerald Avenue, Lakeland, FL 33805 — (863) 687-1000
  • 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 — (314) 362-5000

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X · Licence ME163026 (FL)
Surgery Physician Taxonomy 208600000X · Licence 2016017321 (MO)

Record details

NPI number1922458223
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 16, 2016
Last updated in NPPESOctober 29, 2024
Certification dateOctober 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySURGICAL ONCOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2016 (10 years in practice)
Group practice Lakeland Regional Health Systems Inc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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