Individual
MRS. LESLIE JO COOPER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
302 WEST MAIN ST, WARSAW, KY 41095
(859) 567-2754
(859) 567-5108
Mailing address
PO BOX 128, 302 WEST MAIN ST, WARSAW, KY 41095
(859) 567-2754
(859) 567-5108
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2345P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78001518
—
KY
Enumeration date
01/30/2006
Last updated
07/08/2007
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