Cooper, Kevin L.

Cooper, Kevin L. is an individual health care provider with primary practice located at 2351 E 22Nd St , Cleveland OH 44115-3111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Cooper, Kevin L. can be contacted via phone (216) 861-6200.

Contact Information

Primary practice address
2351 E 22Nd St Cleveland OH 44115-3111
Fax: (216) 363-2757
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 35057833 Ohio

Profile Details

NPI number 1447208475
LBN Legal business name Cooper, Kevin L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 2nd, 2013 - about 12 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 1447208475 NPPES
Ohio Other 341091834009 TRICARE
Ohio Other P00402409 TRICARE
Ohio Other 2765635 TRICARE
Ohio Other 000000485841 TRICARE
Ohio Other 5429209 TRICARE
Ohio Other 341091834050 TRICARE
Ohio MEDICAID 0893458 TRICARE

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