Cooper, Kent J
Cooper, Kent J is an sole proprietor health care provider with primary practice located at 2401 S Tucker Ave Ste. 2, Pittsburg KS 66762-6609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cooper, Kent J can be contacted via phone (620) 231-6280.Contact Information
Primary practice address
2401 S Tucker Ave Ste. 2
Pittsburg KS 66762-6609
Phone: (620) 231-6280
Fax: (620) 231-6342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15873 | Kansas |
Profile Details
| NPI number | 1215020763 |
|---|---|
| LBN Legal business name | Cooper, Kent J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1215020763 | NPPES |
| Kansas | MEDICAID | 100086050A |
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