Individual
MISS KATHLEEN COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
102 PROGRESS PKWY, SULLIVAN, MO 63080-2359
(573) 878-1177
Mailing address
501 W WASHINGTON ST, CUBA, MO 65453-1218
(573) 885-2280
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2023035504
MO
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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