Cooper, Keith

Cooper, Keith is an individual health care provider with primary practice located at 437 Denison St , Conway AR 72034-6127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cooper, Keith can be contacted via phone (501) 327-1325.

Contact Information

Primary practice address
437 Denison St Conway AR 72034-6127
Phone: (501) 327-1325
Fax: (501) 327-1328
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E0922 Arkansas

Profile Details

NPI number 1295732816
LBN Legal business name Cooper, Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2005
Last updated Oct 13th, 2022 - about 2 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 1295732816 NPPES
Arkansas Other 120531 UNITED HEALTHCARE
Arkansas Other 5K846 UNITED HEALTHCARE
Arkansas MEDICAID 134689001 UNITED HEALTHCARE
Arkansas Other 17974000000 UNITED HEALTHCARE

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