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Contact Information

KEVIN E MOCKLIN, MD
4000 LOCK LANE.
# 14
LAKE CHARLES, LA70605
 Phone: 337-494-2445
 Fax: 337-430-6979
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KEVIN E MOCKLIN · (Male)

NPI # 1316026743
Status Active
Credentials MD
Entity Individual
Enumeration date 11/05/2006
Last updated 09/09/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • LA License # L014771
  • LA Medicaid 1320072
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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