Individual
MRS. KELLIE ANNETTE COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P
Contact information
Practice address
34 HEALTHPARK WAY STE 100C, CLAYTON, NC 27520-4497
(919) 585-8850
(919) 585-8869
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
(984) 215-4110
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5004471
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173XP
BCBS OF NC
NC
05
—
1861725491
—
NC
01
—
5004471
NC STATE LICENSE #
NC
Enumeration date
09/15/2009
Last updated
03/07/2023
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