Individual
DR. KEVIN M COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1040 HILLCREST RD, MOBILE, AL 36695
(251) 639-0110
(251) 634-1097
Mailing address
1040 HILLCREST RD, MOBILE, AL 36695
(251) 639-0110
(251) 634-1097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4059
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5109032S
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/31/2006
Last updated
07/08/2007
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