Cooper, Kelcey Raye

Cooper, Kelcey Raye is an individual health care provider with primary practice located at 641 Valley Springs Dr , Southaven MS 38671-4331. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Cooper, Kelcey Raye can be contacted via phone (901) 485-2097.

Contact Information

Primary practice address
641 Valley Springs Dr Southaven MS 38671-4331
Phone: (901) 485-2097
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00617 Mississippi

Profile Details

NPI number 1922515923
LBN Legal business name Cooper, Kelcey Raye
Credentials PA-C, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2017
Last updated Feb 9th, 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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