Individual
ERIC HENDERSON COOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N
Contact information
Practice address
85 DOWNEY DRIVE, COLUMBIA, KY 42728
(270) 250-9669
Mailing address
85 DOWNEY DRIVE, COLUMBIA, KY 42728
(270) 250-9669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1114991
KY
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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