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Individual
DR. KEVIN L. COOPER
Active
Individual
DR. KEVIN L. COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
35057833
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000485841
ANTHEM BCBS
OH
05
—
0893458
—
OH
01
—
2765635
UNITED HEALTHCARE
OH
01
—
341091834009
TRICARE
OH
01
—
341091834050
MEDICAL MUTUAL
OH
01
—
5429209
AETNA
OH
01
—
P00402409
RAILROAD MEDICARE
OH
Enumeration date
05/04/2006
Last updated
07/02/2013
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