Provider Demographics
NPI:1821030974
Name:KOKKINOS, CHERYL LYNN (CNM)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:LYNN
Last Name:KOKKINOS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LA RED HEALTH CENTER
Mailing Address - Street 2:505A WEST MARKET STREET
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-2321
Mailing Address - Country:US
Mailing Address - Phone:302-855-1233
Mailing Address - Fax:302-855-1020
Practice Address - Street 1:LA RED HEALTH CENTER
Practice Address - Street 2:505A WEST MARKET STREET
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-2321
Practice Address - Country:US
Practice Address - Phone:302-855-1233
Practice Address - Fax:302-855-1020
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000960939Medicaid