Individual
KELLY M MCCOCKRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
33 W RAHN RD, DAYTON, OH 45429-2219
(937) 433-8990
(937) 433-8691
Mailing address
33 W RAHN RD, DAYTON, OH 45429-2219
(937) 433-8990
(937) 433-8691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.335087
OH
208M00000X
Hospitalist Physician
APRN.CNP.024227
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.024227
OH
Other
Enumeration date
01/31/2019
Last updated
11/26/2025
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