Provider Demographics
NPI:1629028733
Name:ZOCCHI, KENT A (MD)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:A
Last Name:ZOCCHI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9800 LILE DR
Mailing Address - Street 2:STE 200
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6229
Mailing Address - Country:US
Mailing Address - Phone:501-219-0900
Mailing Address - Fax:501-312-4750
Practice Address - Street 1:9800 LILE DR
Practice Address - Street 2:STE 200
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6229
Practice Address - Country:US
Practice Address - Phone:501-219-0900
Practice Address - Fax:501-312-4750
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
CO41987207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO65031563Medicaid
CO65031563Medicaid
CO803756Medicare ID - Type Unspecified
COG17001Medicare UPIN
ARG17001Medicare UPIN