Individual
KENT WILLIS COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
152 E KINDERTON WAY STE 101, BERMUDA RUN, NC 27006
(336) 893-3210
(336) 893-3229
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 893-3210
(336) 893-3229
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2016-00786
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
207LP2900X
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2014
Last updated
04/26/2022
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