KENNETH E KOKKO (NPI# 1174533178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174533178 |
| Entity Type | Individual |
| Full Name | KENNETH E KOKKO |
| Credential | M.D. |
| Practice Address |
251 N Lyerly St Ste 100 Chattanooga TN 37404-2743 |
| Practice Telephone | (423) 702-7904 |
| Practice Fax Number | 4238268010 |
| Mailing Telephone | (423) 702-7904 |
| Mailing Fax Number | 4238268010 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2017-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
55580 | TN | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
20740 | MS | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
040709 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 156543 | 05 | |
| TN | Q027635 | 05 | |
| MS | 02858713 | 05 | |
| MS | RAILROAD MEDICARE | P01233207 | 01 |
| AL | 116728 | 05 |
| Street Address |
251 N LYERLY ST STE 100 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-2743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126246 | Nathan E Chamberlain | Internal Medicine | 251 N Lyerly St Ste 100, Chattanooga, TN 37404-2728 | 2005-07-05 |
| 1376106260 | Catherine Grace Medley | Nurse Practitioner | 251 N Lyerly St Ste 100, Chattanooga, TN 37404-2743 | 2019-04-17 |
| 1215457734 | Laura Bailey Franklin | Physician Assistant | 251 N Lyerly St Ste 100, Chattanooga, TN 37404-2743 | 2017-06-26 |
| 1073975785 | Kimberly Dawn Ferguson | Nurse Practitioner | 251 N Lyerly St Ste 100, Chattanooga, TN 37404-2743 | 2016-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126246 | Nathan E Chamberlain | Internal Medicine | 251 N Lyerly St Ste 100, Chattanooga, TN 37404-2728 | 2005-07-05 |
| 1467458885 | Jackson J Yium | Internal Medicine | 960 E 3rd St, Ste 208, Chattanooga, TN 37403-2104 | 2005-06-21 |
| 1447256862 | Mandeep S Grewal | Internal Medicine | 251 N Lyerly St, Suite 100, Chattanooga, TN 37404-2739 | 2005-06-21 |
| 1770707705 | Lindsay Carl Crawford | Internal Medicine | 251 N Lyerly St, Suite 100, Chattanooga, TN 37404-2728 | 2007-04-12 |
| 1033230446 | Vikul Vinodbhai Patel | Internal Medicine | 251 N Lyerly St, Suite 100, Chattanooga, TN 37404-2739 | 2007-04-03 |
| 1518076199 | Hans Yehnert | Internal Medicine | 2300 E 3rd St, Suite B, Chattanooga, TN 37404-2700 | 2006-08-29 |
| 1043263205 | Nilesh Chiman Patel | Internal Medicine | 251 N Lyerly St, Suite 100, Chattanooga, TN 37404-2739 | 2006-05-18 |
| 1194776799 | Stuart G Ginther | Internal Medicine | 251 N Lyerly St, Suite 100, Chattanooga, TN 37404-2739 | 2006-05-16 |
| 1437123528 | Brant G Holt | Internal Medicine | 251 N Lyerly St, Suite 100, Chattanooga, TN 37404-2739 | 2006-02-15 |
| 1972596013 | Ralph W Stafford Jr. | Internal Medicine | 251 N Lyerly St, Ste 100, Chattanooga, TN 37404-2739 | 2005-08-24 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
Please comment or provide details below to improve the information on KENNETH E KOKKO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.