Individual provider · Type 1 NPI

Kailah Cooper, PA-C

Physician Assistant · Philadelphia, PA

NPI number 1669343935 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Call (215) 707-3008 Map

Mailing address

3509 N Broad St
Philadelphia, PA 19140-4105

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMA067018 (PA)
Physician Assistant Primary 363A00000XOA007413 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1669343935

Kailah Cooper, PA-C's National Provider Identifier is 1669343935, issued on Sep 17, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Philadelphia, PA. The record was last updated on May 20, 2026.