Healthcare Provider Details

I. General information

NPI: 1083252688
Provider Name (Legal Business Name): KARI ELIZABETH COKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2019
Last Update Date: 04/25/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 CARVER RD
DOVER DE
19904-2715
US

IV. Provider business mailing address

65 CARVER RD
DOVER DE
19904-2715
US

V. Phone/Fax

Practice location:
  • Phone: 302-672-1629
  • Fax:
Mailing address:
  • Phone: 302-672-1620
  • Fax: 302-672-1633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberL1-0040276
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: