Individual
DR. KEVIN PATRICK COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
253 HAMPTON PL, SPRINGFIELD, OH 45501
(937) 399-9777
(937) 399-9781
Mailing address
PO BOX 1586, 253 HAMPTON PL, SPRINGFIELD, OH 45501
(937) 399-9777
(937) 399-9781
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30020445
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014975
—
OH
05
—
2512712
—
OH
01
—
311670421027
CARESOURCE
OH
01
—
3366
MOLINA
OH
Enumeration date
08/30/2006
Last updated
07/09/2007
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