Individual provider · Type 1 NPI

Katelyn Cooley

Student in an Organized Health Care Education/Training Program · Woodstock, GA

NPI number 1164216313 Active

Practice location

3235 S Cherokee Ln Bldg 1200
Woodstock, GA 30188-4461

Call (678) 384-4911 Map

Mailing address

3000 Avonlea Pl Apt 102
Woodstock, GA 30189-4897

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1164216313

Katelyn Cooley's National Provider Identifier is 1164216313, issued on Apr 4, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Woodstock, GA. The record was last updated on Apr 4, 2025.