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NPI Code Detail

MEDICARE: KIMBERLY COKLEY-MAYNARD

MEDICARE: KIMBERLY COKLEY-MAYNARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1629943915
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY COKLEY-MAYNARD
Provider Business Mailing Address
First Line : 18551 CHAMPION FOREST DR STE 103
Second Line :
City : SPRING
State : TX
Zip : 77379-5582
Country : US
Telephone Number : 713-819-6104
Fax Number :
Provider Business Practice Location Address
First Line : 18551 CHAMPION FOREST DR STE 103
Second Line :
City : SPRING
State : TX
Zip : 77379-5582
Country : US
Telephone Number : 713-819-6104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2025
Last Update Date : 10/07/2025

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Directions to “ KIMBERLY COKLEY-MAYNARD ” Practice Location

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