Individual
KRISTI COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1074 PATTERSON RD, KETTERING, OH 45420-1522
(937) 258-6330
Mailing address
1074 PATTERSON RD, KETTERING, OH 45420-1522
(937) 258-6330
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.15621-NP
OH
363LG0600X
Gerontology Nurse Practitioner
COA.15621-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099525
—
OH
Enumeration date
02/04/2014
Last updated
09/10/2018
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