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Individual
COOPER L NICKEL
Active
Individual
COOPER L NICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04-41127
KS
207Q00000X
Family Medicine Physician
Primary
04-41127
KS
Other
Enumeration date
04/17/2017
Last updated
12/07/2025
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