Cochrane, Kelly James

Cochrane, Kelly James is an individual health care provider with primary practice located at 9825 Sandifur Pkwy Suite B, Pasco WA 99301-6738. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cochrane, Kelly James can be contacted via phone (509) 547-6998.

Contact Information

Primary practice address
9825 Sandifur Pkwy Suite B Pasco WA 99301-6738
Fax: (509) 547-6966
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1536TX Washington
Eye and Vision Services Providers / Optometrist 152W00000X 1629D Oregon

Profile Details

NPI number 1184693897
LBN Legal business name Cochrane, Kelly James
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Dec 4th, 2007 - about 19 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 1184693897 NPPES
Other 410016585 UPPR
Other 022886003 UPPR
Other 032340000 UPPR
MEDICAID 2009488 UPPR
Other CO6992 UPPR
Other 554048 UPPR
Other 610605300 UPPR
Other 8886644808 UPPR
Other 25764890 UPPR
Other 410016584 UPPR
Other 0323400001 UPPR
Other 0226424 UPPR

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