Individual
DR. KIMBERLY P. COCKERHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3636 CAMINO DEL RIO N STE 200, SAN DIEGO, CA 92108-1702
(619) 655-3705
Mailing address
PO BOX 503148, SAN DIEGO, CA 92150-3148
(650) 804-9270
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
G86885
CA
207WX0109X
Neuro-ophthalmology Physician
Primary
G86885
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G868850
—
CA
Enumeration date
05/12/2006
Last updated
11/06/2025
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