Individual
KYLIE MARIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0420013113
VT
207V00000X
Obstetrics & Gynecology Physician
73469
MN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
73469
MN
207VM0101X
Maternal & Fetal Medicine Physician
M-14071
ID
Other
Enumeration date
04/04/2011
Last updated
04/23/2024
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