Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kathryn Olsen Cockerham, MD

Individual provider Emergency Medicine Physician · NPI 1215100839

Dr. Kathryn Olsen Cockerham, MD is an Emergency Medicine in Roosevelt, Utah. Graduated from University of Utah School of Medicine in 2006, 20 years ago. Practices with St Johns Lutheran Hospital Inc, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Montana and Utah.

Years since qualifying
20
Trained at
University of Utah School of Medicine
Licensed in
MT, UT
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

250 W 300 N
Roosevelt, UT 84066-2336
Phone: (801) 722-4691
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6 13th Ave E, Polson, MT 59860-5315 — (406) 883-5680

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 338161-1205 (UT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MED-PHYS-LIC-33350 (MT)

Record details

NPI number1215100839
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 3, 2008
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address250 W 300 N, Roosevelt, UT 84066-2336

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice St Johns Lutheran Hospital Inc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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