Individual
KARI LYNN COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 WANDA ST, MARIETTA, OK 73448-1200
(580) 276-3347
Mailing address
1421 OAKWOOD DR, NORMAN, OK 73069-4446
(405) 383-3967
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1611
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1611
LICENSE
OK
05
—
200123520A
—
OK
Enumeration date
07/30/2007
Last updated
05/30/2012
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