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Kelly M Cooper, PA
Medical Physician Assistant in Oklahoma City, Oklahoma
NPI 1861444168

Kelly M Cooper is a Medical Physician Assistant based in Oklahoma City, OK and is specialized in Medical. Kelly M Cooper practices in Oklahoma City, OK and has the professional credentials of PA. The NPI Number for Kelly M Cooper is 1861444168 and holds a License No. 874 (Oklahoma).

The current practice location address for Kelly M Cooper is 14100 Parkway Commons Dr, Oklahoma City, OK and can be reached out via phone at 405-286-9820 and via fax at 405-286-9813. You can also correspond with Kelly M Cooper through the mailing address at 14100 PARKWAY COMMONS DR, OKLAHOMA CITY, OK - 73134-6103 (mailing address contact number: 405-286-9820).

Location: 14100 Parkway Commons Dr, Oklahoma City, OK, 73134-6103
person
Provider Profile Details
NPI Number
1861444168
Provider Name
Kelly M Cooper
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
14100 Parkway Commons Dr, Oklahoma City, OK, 73134-6103
Phone Number
405-286-9820
Fax Number
405-286-9813
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00454308 01 OK MEDICARE RR
446586302003 01 OK BC/BS OF OK
446586302001 01 OK BC/BS
200052210A 05 OK
P00083013 01 OK MEDICARE RR
institution
Provider Business Practice Location Address Details
Address
14100 Parkway Commons Dr
City
State
Zip
73134-6103
Phone Number
405-286-9820
Fax Number
405-286-9813
person
Provider Business Mailing Address Details
Address
14100 Parkway Commons Dr
City
State
Zip
73134-6103
Phone Number
405-286-9820
Fax Number
405-286-9813
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
874 (Oklahoma)
Definition
Definition to come...
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