Individual
DR. KEVIN HEWETT COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
110 E SWANSON AVE, WASILLA, AK 99654-7024
(907) 376-5207
(907) 373-3430
Mailing address
PO BOX 872909, WASILLA, AK 99687-2909
(907) 376-5207
(907) 373-3403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AK 883
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD0883
—
AK
Enumeration date
02/06/2007
Last updated
07/08/2007
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