Kokkila, Richard Leroy

Kokkila, Richard Leroy is an individual health care provider with primary practice located at 1208 Olena Avenue Se Minnesota Specialty Health System, Willmar MN 56201-9599. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kokkila, Richard Leroy can be contacted via phone (320) 235-0900.

Contact Information

Primary practice address
1208 Olena Avenue Se Minnesota Specialty Health System Willmar MN 56201-9599
Phone: (320) 235-0900
Fax: (320) 214-3335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 31305 Minnesota

Profile Details

NPI number 1801874342
LBN Legal business name Kokkila, Richard Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Oct 31st, 2012 - about 13 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 1801874342 NPPES
Minnesota MEDICAID 413287400

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