Individual
KEVIN D. COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.S., R.D.
Contact information
Practice address
6270 MIDWAY ST, SACRAMENTO, CA 95828-0907
(916) 386-6541
(916) 386-6577
Mailing address
1142 DEER RIDGE RD, FRUIT HEIGHTS, UT 84037-3205
(916) 606-8818
(916) 783-0103
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
9586607
UT
133V00000X
Registered Dietitian
RD968057
CA
Other
Enumeration date
12/01/2008
Last updated
01/09/2021
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