Cooper, Kelly

Cooper, Kelly is an individual health care provider with primary practice located at 221 3Rd St W Bldg 1040 , Jbsa Randolph TX 78150-4800. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Cooper, Kelly can be contacted via phone (210) 652-3301.

Contact Information

Primary practice address
221 3Rd St W Bldg 1040 Jbsa Randolph TX 78150-4800
Phone: (210) 652-3301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 32365 Texas

Profile Details

NPI number 1386191252
LBN Legal business name Cooper, Kelly
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2016
Last updated Sep 24th, 2020 - about 4 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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