Keith Cockle

NPI 1376908962 · on the registry since 2015

Practice

Address: 1115 Harbor Rd
Grove, OK 74344
Phone: (918) 786-4434
Fax: (918) 786-4435
Organisation at this address: Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 80

Registry record

Primary taxonomy: Peer Specialist
175T00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-04-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma