person
Jonathan Kyle Cooper
Private Vehicle in Fredericksburg, Virginia
NPI 1235788621

Jonathan Kyle Cooper is a Private Vehicle based in Fredericksburg, VA. Jonathan Kyle Cooper practices in Fredericksburg, VA. The NPI Number for Jonathan Kyle Cooper is 1235788621 and holds a License No. A66179172 (Virginia).

The current practice location address for Jonathan Kyle Cooper is 2312 Drake Ln, Fredericksburg, VA and can be reached out via phone at 703-462-4453.

Location: 2312 Drake Ln, Fredericksburg, VA, 22408-0300
person
Provider Profile Details
NPI Number
1235788621
Provider Name
Jonathan Kyle Cooper
Credential
Provider Entity Type
Individual
Gender
Male
Address
2312 Drake Ln, Fredericksburg, VA, 22408-0300
Phone Number
703-462-4453
Fax Number
Provider Enumeration Date
09/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2312 Drake Ln
City
State
Zip
22408-0300
Phone Number
703-462-4453
Fax Number
person
Provider Business Mailing Address Details
Address
2312 Drake Ln
City
State
Zip
22408-0300
Phone Number
703-462-4453
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
A66179172 (Virginia)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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