Michelle Dockins Kocan, L.AC.
Individual provider Active NPI Acupuncturist · Cordova, AK
NPI 1780906305 · NPPES record last updated Apr 23, 2015
Key facts
- NPI
- 1780906305
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AK 138 (AK)
- Practice address
- 520 2ND St
Cordova, AK 99574-2196 - Phone
- (907) 429-7797
- NPI assigned
- Feb 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AK 138 | AK | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acupuncture & Wellness of Cordova | Acupuncturist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AK 138 | AK | Yes |
Addresses
Primary practice location
520 2ND St
Cordova, AK 99574-2196
Mailing address
PO Box 2196
Cordova, AK 99574-2196
Phone (907) 429-7797
Other providers in Cordova, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.