Cooper, Kimberly Garrett

Cooper, Kimberly Garrett is an sole proprietor health care provider with primary practice located at 112 Riverbend Cv , Brandon MS 39047-8647. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Cooper, Kimberly Garrett can be contacted via phone (601) 825-9501.

Contact Information

Primary practice address
112 Riverbend Cv Brandon MS 39047-8647
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT0196 Mississippi

Profile Details

NPI number 1174721047
LBN Legal business name Cooper, Kimberly Garrett
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174721047 NPPES
Mississippi MEDICAID 00124121

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