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Individual
KIRSTEN LEA COOPER
Active
Individual
KIRSTEN LEA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33166
KY
207Q00000X
Family Medicine Physician
Primary
ME139523
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102656300
—
FL
01
—
1224232
CHA
KY
01
—
2075768
CCN FIRST HEALTH
KY
01
—
5276688
AETNA
KY
05
—
64331663
—
KY
01
—
84146
WASAU
KY
Enumeration date
03/06/2007
Last updated
08/13/2021
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