Individual
MICHAEL DYLAN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(606) 282-0971
Mailing address
12202 REDSPIRE DR UNIT 304, LOUISVILLE, KY 40299-6178
(606) 282-0971
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
1180716
KY
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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