Individual
LAURA KELLY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4201 S A ST, RICHMOND, IN 47374-6049
(765) 965-9500
(765) 965-0432
Mailing address
4201 S A ST, RICHMOND, IN 47374-6049
(765) 965-9500
(765) 965-0432
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002028A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200468130A
—
IN
05
—
300070238
—
IN
Enumeration date
01/30/2007
Last updated
03/16/2023
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