Individual
DR. KATHRYN OLSEN COCKERHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 W 300 N, ROOSEVELT, UT 84066-2336
(801) 722-4691
Mailing address
250 W 300 N, ROOSEVELT, UT 84066-2336
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
338161-1205
UT
207P00000X
Emergency Medicine Physician
MED-PHYS-LIC-33350
MT
Other
Enumeration date
04/03/2008
Last updated
12/09/2025
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