Individual
KAYLA MARIE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
7453 IRMO DR, COLUMBIA, SC 29212-8698
(803) 781-4092
(803) 781-2798
Mailing address
PO BOX 3709, IRMO, SC 29063-4019
(803) 781-4092
(803) 481-2798
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3600
SC
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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