Individual
JOHN KOCKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
8930 BRECKSVILLE RD, BRECKSVILLE, OH 44141-2318
(440) 740-0696
(440) 740-0697
Mailing address
2830 FRANKLIN BLVD, CLEVELAND, OH 44113-2978
(330) 425-4310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35082293K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2427216
—
OH
Enumeration date
10/31/2006
Last updated
04/03/2017
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