Cook, Keely L

Cook, Keely L is an individual health care provider with primary practice located at 1682 Ne Pine Island Rd , Cape Coral FL 33909-1756. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cook, Keely L can be contacted via phone (239) 424-1600.

Contact Information

Primary practice address
1682 Ne Pine Island Rd Cape Coral FL 33909-1756
Phone: (239) 424-1600
Fax: (239) 424-1640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085-000551 Illinois

Profile Details

NPI number 1225154743
LBN Legal business name Cook, Keely L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Feb 2nd, 2022 - about 4 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 1225154743 NPPES
Florida MEDICAID 100264100
Florida Other 085-000551

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