Individual
KIMBERLY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
455 PINELLAS ST STE 400, CLEARWATER, FL 33756-3356
(239) 404-7601
Mailing address
455 PINELLAS ST STE 400, CLEARWATER, FL 33756-3356
(239) 404-7601
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9120216
FL
Other
Enumeration date
05/07/2025
Last updated
06/03/2025
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