Cooke, Kevin

Cooke, Kevin is an individual health care provider with primary practice located at 5755 Cedar Ln , Columbia MD 21044-2912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Cooke, Kevin can be contacted via phone (410) 550-9720.

Contact Information

Primary practice address
5755 Cedar Ln Columbia MD 21044-2912
Phone: (410) 550-9720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X D0025770 Maryland

Profile Details

NPI number 1871529172
LBN Legal business name Cooke, Kevin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Jun 24th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871529172 NPPES
Maryland MEDICAID 022006300
Maryland MEDICAID 209141100

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