Cooper, Kristen

Cooper, Kristen is an individual health care provider with primary practice located at 1079 E Morris Blvd , Morristown TN 37813-5901. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Cooper, Kristen can be contacted via phone (423) 318-7373.

Contact Information

Primary practice address
1079 E Morris Blvd Morristown TN 37813-5901
Phone: (423) 318-7373
Fax: (423) 318-7474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC0000003822 Tennessee

Profile Details

NPI number 1649529330
LBN Legal business name Cooper, Kristen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2012
Last updated Mar 5th, 2020 - about 5 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 1649529330 NPPES
Tennessee MEDICAID Q029407

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