Cooper, Kerry

Cooper, Kerry is an individual health care provider with primary practice located at 2141 E Warner Rd Suite 101, Tempe AZ 85284-3493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Cooper, Kerry can be contacted via phone (480) 464-0189.

Contact Information

Primary practice address
2141 E Warner Rd Suite 101 Tempe AZ 85284-3493
Fax: (480) 464-0189
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 28488 Arizona

Profile Details

NPI number 1912970799
LBN Legal business name Cooper, Kerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jul 2nd, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912970799 NPPES
Arizona MEDICAID 521783

Popular Providers