Individual provider · Type 1 NPI

Derrick D. Kooker, P.A.

Surgical Physician Assistant · Colorado Springs, CO

NPI number 1851373526 Active

Practice location

2312 N Nevada Ave Ste 235
Colorado Springs, CO 80907-5312

Call (719) 776-7600 Map

Fax (719) 473-3553

Mailing address

2222 N Nevada Ave, Suite
Colorado Springs, CO 80907-6819

Other practice locations

  • 2222 N Nevada Ave, Suite, Colorado Springs, CO 80907-6819 · (719) 776-7600

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA.0003166 (CO)
Physician Assistant 363A00000XPA961 (KY)

Surgical Physician Assistant: Definition to come...

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About NPI 1851373526

Derrick D. Kooker, P.A.'s National Provider Identifier is 1851373526, issued on Nov 17, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Colorado Springs, CO. The record was last updated on Feb 9, 2026.