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

Mrs. Connie Rosella Koch, AA, CBIS

Individual provider Specialist · NPI 1912227299

Mrs. Connie Rosella Koch, AA, CBIS is a Specialist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010

Practice location Address checks out

1490 E Beltline Ave SE
Grand Rapids, MI 49506-4336
Phone: (616) 940-0040
Fax: (616) 940-8151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1803 (MI)

Record details

NPI number1912227299
Entity typeIndividual (Type 1)
GenderFemale
Credentials AA , CBIS
Sole proprietorNo
NPI enumeratedJune 9, 2010
Last updated in NPPESJune 9, 2010

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