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Organization

TIMOTHY RICHARD KOCKLER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA KOCKLER (RECEPTIONIST)
(435) 632-1445
Entity
Organization

Contact information

Practice address
1224 S RIVER RD, BLDG B SUITE 221, ST GEORGE, UT 84790-8285
(435) 632-1445
(435) 986-2262
Mailing address
PO BOX 153, ST GEORGE, UT 84771-0153
(435) 632-1445
(435) 986-2262

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
07/12/2012
Last updated
07/12/2012
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