Cooper, Kenneth Lee

Cooper, Kenneth Lee is an sole proprietor health care provider with primary practice located at 832 Eastern Ave , Woodsfield OH 43793-1093. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Cooper, Kenneth Lee can be contacted via phone (740) 472-2259.

Contact Information

Primary practice address
832 Eastern Ave Woodsfield OH 43793-1093
Phone: (740) 472-2259
Fax: (740) 472-5836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36003239 Ohio

Profile Details

NPI number 1356348676
LBN Legal business name Cooper, Kenneth Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2005
Last updated Dec 8th, 2010 - about 14 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 1356348676 NPPES
Ohio MEDICAID 2328243

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