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NPI Code Detail

MEDICARE: HEATHER RENEE COCHRAN CHW

MEDICARE: HEATHER RENEE COCHRAN CHW
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
1172V00000XCommunity Health WorkerMO

General Provider Information

NPI Number : 1831989516
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER RENEE COCHRAN CHW
Provider Business Mailing Address
First Line : 2401 GILLHAM RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-4619
Country : US
Telephone Number : 816-601-4160
Fax Number :
Provider Business Practice Location Address
First Line : 2405 GRAND BLVD FL 14
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-2536
Country : US
Telephone Number : 816-302-8565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2025
Last Update Date : 05/20/2025

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Directions to “ HEATHER RENEE COCHRAN CHW” Practice Location

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