Cooper, Kimberly Ann

Cooper, Kimberly Ann is an individual health care provider with primary practice located at 1640 Flossie Dr , Greendale IN 47025-8424. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Cooper, Kimberly Ann can be contacted via phone (877) 670-7264.

Contact Information

Primary practice address
1640 Flossie Dr Greendale IN 47025-8424
Phone: (877) 670-7264
Fax: (812) 539-1824
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34012820 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01087306A Indiana

Profile Details

NPI number 1386050524
LBN Legal business name Cooper, Kimberly Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2014
Last updated May 18th, 2022 - about 3 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 1386050524 NPPES
Louisiana MEDICAID 2367501
Louisiana MEDICAID 0226978

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