person
Kenneth Robert Cook, NURSEPRACTITIONER
Family Nurse Practitioner in Tupelo, Mississippi
NPI 1831161397

Kenneth Robert Cook is a Family Nurse Practitioner based in Tupelo, MS and is specialized in Family. Kenneth Robert Cook practices in Tupelo, MS and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Kenneth Robert Cook is 1831161397 and holds a License No. R867598 (Mississippi).

The current practice location address for Kenneth Robert Cook is 410 Council Cir, Tupelo, MS and can be reached out via phone at 662-377-5400 and via fax at 662-377-5415.

Location: 410 Council Cir, Tupelo, MS, 38801-5599
person
Provider Profile Details
NPI Number
1831161397
Provider Name
Kenneth Robert Cook
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
410 Council Cir, Tupelo, MS, 38801-5599
Phone Number
662-377-5400
Fax Number
662-377-5415
Provider Enumeration Date
02/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08083594 05 MS
institution
Provider Business Practice Location Address Details
Address
410 Council Cir
City
State
Zip
38801-4938
Phone Number
662-377-5400
Fax Number
662-377-5415
person
Provider Business Mailing Address Details
Address
410 Council Cir
City
State
Zip
38801-4938
Phone Number
662-377-5400
Fax Number
662-377-5415
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R867598 (Mississippi)
Definition
Definition to come...
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