Provider Demographics
NPI:1952476301
Name:COKES, KIMBERLY FAYE (PT)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:FAYE
Last Name:COKES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 SW 10TH AVE
Mailing Address - Street 2:THE CAPPER FOUNDATION EASTER SEALS
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1995
Mailing Address - Country:US
Mailing Address - Phone:785-272-4060
Mailing Address - Fax:785-272-7912
Practice Address - Street 1:3500 SW 10TH AVE
Practice Address - Street 2:THE CAPPER FOUNDATION EASTER SEALS
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1995
Practice Address - Country:US
Practice Address - Phone:785-272-4060
Practice Address - Fax:785-272-7912
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1101296225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS059515OtherBCBS KS