Individual
KAREN R. COCKERHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 BELLE CHASSE HIGHWAY, GRETNA, LA 70056
(504) 392-3131
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19192
MS
207P00000X
Emergency Medicine Physician
Primary
M.D. 020566
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01732324
—
MS
05
—
07256501
—
MS
05
—
1909637
—
LA
Enumeration date
06/16/2006
Last updated
11/13/2008
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