Cooper, Kevin R
Cooper, Kevin R is an individual health care provider with primary practice located at 1250 E Marshall St Internal Medicine, Richmond VA 23298-5051. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Cooper, Kevin R can be contacted via phone (804) 828-2161.Contact Information
Primary practice address
1250 E Marshall St Internal Medicine
Richmond VA 23298-5051
Phone: (804) 828-2161
Fax: (804) 828-2578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101025138 | Virginia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 0101025138 | Virginia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0101025138 | Virginia |
Profile Details
| NPI number | 1609957240 |
|---|---|
| LBN Legal business name | Cooper, Kevin R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Jan 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609957240 | NPPES |
| Virginia | MEDICAID | 006083323 541581185 |
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