Provider Demographics
NPI:1386652873
Name:ROCKEY, CHRIS MCCLAIN (PA)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:MCCLAIN
Last Name:ROCKEY
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1971 NORTHAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-1844
Mailing Address - Country:US
Mailing Address - Phone:317-439-3311
Mailing Address - Fax:260-407-8004
Practice Address - Street 1:1501 HARTFORD ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47904-2134
Practice Address - Country:US
Practice Address - Phone:765-423-6011
Practice Address - Fax:260-407-8004
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10000591A207P00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine