Individual
DR. CAROL H COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2930 CARTER AVE, ASHLAND, KY 41101-1943
(606) 324-1483
(606) 329-2612
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
28550
KY
207N00000X
Dermatology Physician
Primary
28550
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0723902
MEDICARE ID
KY
05
—
64285505
—
KY
Enumeration date
07/12/2006
Last updated
09/21/2025
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