Cooper, Kerry
Cooper, Kerry is an individual health care provider with primary practice located at 2141 E Warner Rd Suite 101, Tempe AZ 85284-3493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Cooper, Kerry can be contacted via phone (480) 464-0189.Contact Information
Primary practice address
2141 E Warner Rd Suite 101
Tempe AZ 85284-3493
Phone: (480) 464-0189
Fax: (480) 464-0189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 28488 | Arizona |
Profile Details
| NPI number | 1912970799 |
|---|---|
| LBN Legal business name | Cooper, Kerry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Jul 2nd, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912970799 | NPPES |
| Arizona | MEDICAID | 521783 |
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