Individual provider · Type 1 NPI

Gordon Cooper South Whitt, MD

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1639791056 Active

Practice location

500 S Preston St Rm 305
Louisville, KY 40202-1702

Call (502) 852-8696 Map

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 1639791056

Gordon Cooper South Whitt, MD's National Provider Identifier is 1639791056, issued on May 7, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Jun 26, 2023.