Cooper, Kevin R

Cooper, Kevin R is an individual health care provider with primary practice located at 1250 E Marshall St Internal Medicine, Richmond VA 23298-5051. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Cooper, Kevin R can be contacted via phone (804) 828-2161.

Contact Information

Primary practice address
1250 E Marshall St Internal Medicine Richmond VA 23298-5051
Phone: (804) 828-2161
Fax: (804) 828-2578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101025138 Virginia
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 0101025138 Virginia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 0101025138 Virginia

Profile Details

NPI number 1609957240
LBN Legal business name Cooper, Kevin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jan 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609957240 NPPES
Virginia MEDICAID 006083323 541581185

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