Individual
KELLI M COCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6800 AMBASSADOR CAFFERY PKWY, BROUSSARD, LA 70518-4999
(337) 330-4525
(337) 330-4526
Mailing address
6800 AMBASSADOR CAFFERY PKWY, BROUSSARD, LA 70518-4999
(337) 330-4525
(337) 330-4526
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.201221
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1214736
—
LA
Enumeration date
05/24/2007
Last updated
02/07/2019
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