Provider Demographics
NPI:1487432274
Name:COCARD, KAITLIN (ND)
Entity type:Individual
Prefix:DR
First Name:KAITLIN
Middle Name:
Last Name:COCARD
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 PAINTED ROCK TRL
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-6827
Mailing Address - Country:US
Mailing Address - Phone:530-448-0172
Mailing Address - Fax:
Practice Address - Street 1:7898 MORGAN POINTE CIR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-4805
Practice Address - Country:US
Practice Address - Phone:530-448-0172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1439175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty