Cooke, Kelly Jo

Cooke, Kelly Jo is an individual health care provider with primary practice located at 721 American Ave Ste 508 Prohealth Care Medical Associates Inc., Waukesha WI 53188-5071. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Cooke, Kelly Jo can be contacted via phone (262) 928-4898.

Contact Information

Primary practice address
721 American Ave Ste 508 Prohealth Care Medical Associates Inc. Waukesha WI 53188-5071
Phone: (262) 928-4898
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 036105206 Illinois
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 61139 Wisconsin
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X BP20022320 Texas

Profile Details

NPI number 1528276417
LBN Legal business name Cooke, Kelly Jo
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jan 17th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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