Cooper, Kenneth H

Cooper, Kenneth H is an individual health care provider with primary practice located at 12200 Preston Rd , Dallas TX 75230-2223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Cooper, Kenneth H can be contacted via phone (972) 560-2667.

Contact Information

Primary practice address
12200 Preston Rd Dallas TX 75230-2223
Phone: (972) 560-2667
Fax: (972) 239-6649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X D7550 Texas

Profile Details

NPI number 1376577890
LBN Legal business name Cooper, Kenneth H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1376577890 NPPES
Texas Other 840501 BLUE CROSS

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