Individual provider · Type 1 NPI

Kelly M. Cooper, PA

Medical Physician Assistant · Oklahoma City, OK

NPI number 1861444168 Active

Practice location

14100 Parkway Commons Dr, Suite 100
Oklahoma City, OK 73134-6103

Fax (405) 286-9813

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X874 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1861444168

Kelly M. Cooper, PA's National Provider Identifier is 1861444168, issued on May 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Oklahoma City, OK. The record was last updated on Feb 17, 2014.