Individual
MRS. KRISTINA D COCKERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11245 SHAWNEE MISSION PKWY, SHAWNEE, KS 66203-3308
(913) 268-4455
Mailing address
11245 SHAWNEE MISSION PKWY, SHAWNEE, KS 66203-3308
(913) 492-9675
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
135794
KS
363LF0000X
Family Nurse Practitioner
Primary
80569
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/17/2021
Last updated
05/25/2022
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