Cooper, Kendall Mira

Cooper, Kendall Mira is an individual health care provider with primary practice located at 19251 Mack Ave Ste M450 , Grosse Pointe Woods MI 48236-2893. She recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as her primary health care specialty. Cooper, Kendall Mira can be contacted via phone (313) 343-1370.

Contact Information

Primary practice address
19251 Mack Ave Ste M450 Grosse Pointe Woods MI 48236-2893
Phone: (313) 343-1370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X

Profile Details

NPI number 1194471714
LBN Legal business name Cooper, Kendall Mira
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2022
Last updated Feb 22nd, 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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