Cocke, Kelli M

Cocke, Kelli M is an sole proprietor health care provider with primary practice located at 6800 Ambassador Caffery Pkwy , Broussard LA 70518-4999. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cocke, Kelli M can be contacted via phone (337) 330-4525.

Contact Information

Primary practice address
6800 Ambassador Caffery Pkwy Broussard LA 70518-4999
Fax: (337) 330-4526
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.201221 Louisiana

Profile Details

NPI number 1922219674
LBN Legal business name Cocke, Kelli M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Feb 7th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922219674 NPPES
Louisiana MEDICAID 1214736

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