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Individual
KEITH E COOPER
Active
Individual
KEITH E COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02002249A
IN
207Q00000X
Family Medicine Physician
65886-21
WI
207R00000X
Internal Medicine Physician
Primary
65886-21
WI
Other
Enumeration date
05/16/2006
Last updated
04/18/2024
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