Individual
MRS. KEIARA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N BROADWAY, BALTIMORE, MD 21205-1424
(443) 923-9468
Mailing address
21 TEMONS CT, WINDSOR MILL, MD 21244-1465
(443) 965-0329
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
A5969
MD
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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