Cooper, Kevin D

Cooper, Kevin D is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology. Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology is his primary health care specialty. Cooper, Kevin D can be contacted via phone (216) 844-8200.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-8200
Fax: (216) 286-6341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35-068611 Ohio
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X 35-068611 Ohio

Profile Details

NPI number 1649299090
LBN Legal business name Cooper, Kevin D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Dec 17th, 2020 - about 6 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 1649299090 NPPES
Other 742206 BUCKEYE
MEDICAID 0019479400002 BUCKEYE
Other 000000523162 BUCKEYE
Other 70013591 BUCKEYE
Other 1049435 BUCKEYE
Other 000000140401 BUCKEYE
Other 000000221135 BUCKEYE
MEDICAID 0161908 BUCKEYE
Other 363444 BUCKEYE

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