Individual
DR. KELLY JAMES COCHRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9825 SANDIFUR PKWY, SUITE B, PASCO, WA 99301-6738
(509) 547-6998
(509) 547-6966
Mailing address
PO BOX 4013, PASCO, WA 99302-4013
(509) 547-6998
(509) 547-6966
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1536TX
WA
152W00000X
Optometrist
1629D
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0226424
DEPT LABOR AND INDUSTRIES
WA
01
—
022886003
REGENCE OREGON
—
01
—
032340000
CIGNA
—
01
—
0323400001
MC SUPPY CIGNA DMERC REGD
—
05
—
2009488
—
WA
01
—
25764890
GROUP HEALTH
—
01
—
410016584
TRAVELERS MEDICARE RETIRE
—
01
—
410016585
UPPR
—
01
—
554048
AETNA
—
01
—
610605300
DEPT OF LABOR SEATTLE DFE
—
01
—
8886644808
COMM HEALTH PLAN OF WA
—
01
—
CO6992
REGENCE WASHINGTON
—
Enumeration date
03/15/2006
Last updated
12/04/2007
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