Cooper, Kieran Alexander

Cooper, Kieran Alexander is an individual health care provider with primary practice located at 448 Ralph David Abernathy Swblvd Sw2 , Atlanta GA 30312-2404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Cooper, Kieran Alexander can be contacted via phone (678) 499-8633.

Contact Information

Primary practice address
448 Ralph David Abernathy Swblvd Sw2 Atlanta GA 30312-2404
Phone: (678) 499-8633
Fax: (678) 510-7555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 037512 Georgia

Profile Details

NPI number 1760425623
LBN Legal business name Cooper, Kieran Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 7th, 2015 - about 10 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 1760425623 NPPES
Georgia MEDICAID 000560436G

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