Individual
DR. DICK L COCKERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1101 S. MAIN, SCOTT CITY, KS 67871-1824
(620) 872-2310
(620) 872-7038
Mailing address
1101 S. MAIN, SCOTT CITY, KS 67871-1824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C3292
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005442001
MEDICARE
KS
01
—
062450
BCBS OF KANSAS
KS
01
—
062453
BCBS OF KANSAS
KS
01
—
KA1071002
MEDICARE PTAN
KS
Enumeration date
10/02/2006
Last updated
06/24/2008
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