Individual
KENNETH E KOKKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
979 E 3RD ST # B1010, CHATTANOOGA, TN 37403-2136
(423) 778-8067
Mailing address
251 N LYERLY ST STE 100, CHATTANOOGA, TN 37404-2743
(423) 702-7904
(423) 826-8010
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
040709
GA
207RN0300X
Nephrology Physician
20740
MS
207RN0300X
Nephrology Physician
Primary
55580
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009063750
—
GA
05
—
202312
—
AL
01
—
P01233207
RAILROAD MEDICARE
MS
05
—
Q027635
—
TN
Enumeration date
08/09/2006
Last updated
04/16/2025
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