Cooper, Kelly M
Cooper, Kelly M is an individual health care provider with primary practice located at 14100 Parkway Commons Dr Suite 100, Oklahoma City OK 73134-6103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cooper, Kelly M can be contacted via phone (405) 286-9820.Contact Information
Primary practice address
14100 Parkway Commons Dr Suite 100
Oklahoma City OK 73134-6103
Phone: (405) 286-9820
Fax: (405) 286-9813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 874 | Oklahoma |
Profile Details
| NPI number | 1861444168 |
|---|---|
| LBN Legal business name | Cooper, Kelly M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Feb 17th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861444168 | NPPES |
| Oklahoma | Other | P00454308 | MEDICARE RR |
| Oklahoma | Other | 446586302003 | MEDICARE RR |
| Oklahoma | Other | 446586302001 | MEDICARE RR |
| Oklahoma | MEDICAID | 200052210A | MEDICARE RR |
| Oklahoma | Other | P00083013 | MEDICARE RR |
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