Individual
KIMBERLY COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1000 E PRIMROSE ST STE 400, SPRINGFIELD, MO 65807-5179
(417) 269-7900
Mailing address
1000 E PRIMROSE ST STE 400, SPRINGFIELD, MO 65807-5179
(417) 269-7900
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
106707
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881836831
—
MO
05
—
429937402
—
MO
Enumeration date
04/06/2009
Last updated
12/27/2018
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