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Individual

MICKI L POCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
601 S FLOYD ST STE 300, LOUISVILLE, KY 40202-1837
(502) 629-1515
(502) 629-1545
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5395
(502) 272-5339

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
3005612
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000620804
ANTHEM - LMVA
KY
01
000000735276
ANTHEM - WOMEN'S SPECIALIST
KY
01
000023036V
HUMANA - LMVA
KY
01
105635
SIHO - LMVA
KY
01
1408744
CIGNA - LMVA
KY
05
200947930
IN
01
3721649000
PASSPORT ADVANTAGE - LMVA
KY
01
50024344
PASSPORT - LMVA
KY
05
7100072010
KY
01
P00828506
RAILROAD MEDICARE - LMVA
KY
Enumeration date
09/17/2008
Last updated
09/17/2021
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