Provider Demographics
NPI:1427090430
Name:KOKESH, JOHN F (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:F
Last Name:KOKESH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3841 PIPER ST.
Mailing Address - Street 2:SUITE T-230
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508
Mailing Address - Country:US
Mailing Address - Phone:907-279-8800
Mailing Address - Fax:907-279-8810
Practice Address - Street 1:3841 PIPER ST.
Practice Address - Street 2:SUITE T-230
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-279-8800
Practice Address - Fax:907-279-8810
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK4114207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD1038Medicaid
AKMD1038Medicaid
AKH57728Medicare UPIN