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Dr. Chad Mitchell Cooper, DPM
Foot & Ankle Surgery Podiatrist in London, Kentucky
NPI 1912344011

Chad Mitchell Cooper is a Foot & Ankle Surgery Podiatrist based in Somerset, KY and is specialized in Foot & Ankle Surgery. Chad Mitchell Cooper practices in London, KY and has the professional credentials of DPM. The NPI Number for Chad Mitchell Cooper is 1912344011 and holds a License No. (Kentucky).

The current practice location address for Chad Mitchell Cooper is 929 N Main St, London, KY and can be reached out via phone at 606-862-0956 and via fax at 606-862-0955.

Location: 929 N Main St, London, KY, 42503-3428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912344011
Provider Name
Chad Mitchell Cooper
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
929 N Main St, London, KY, 42503-3428
Phone Number
606-862-0956
Fax Number
606-862-0955
Provider Enumeration Date
05/29/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100449460 05 KY
institution
Provider Business Practice Location Address Details
Address
929 N Main St
City
London
State
Kentucky
Zip
40741-1122
Phone Number
606-862-0956
Fax Number
606-862-0955
person
Provider Business Mailing Address Details
Address
929 N Main St
City
London
State
Kentucky
Zip
40741-1122
Phone Number
606-862-0956
Fax Number
606-862-0955
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
00466 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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