Individual provider · Type 1 NPI

Kelcey Raye Cooper, PA-C, ATC

Physician Assistant · Olive Branch, MS

NPI number 1922515923 Active

Practice location

4250 Bethel Rd
Olive Branch, MS 38654-8737

Call (901) 516-1290 Map

Fax (901) 516-1220

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice locations

  • 7691 Poplar Ave, Germantown, TN 38138-3904 · (901) 516-1290

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Physician Assistant Primary 363A00000XPA00617 (MS)

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 1922515923

Kelcey Raye Cooper, PA-C, ATC's National Provider Identifier is 1922515923, issued on Dec 29, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Olive Branch, MS. The record was last updated on May 27, 2025.