# KYLIE MARIE COOPER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043509730
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0420013113 | VT | — |
| 207V00000X | Obstetrics & Gynecology Physician | 73469 | MN | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 73469 | MN | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | M-14071 | ID | — |

## Other

- **Enumeration date:** 04/04/2011
- **Last updated:** 04/23/2024