Individual
KELLY M COOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 S UNION AVE, STE B-2001, TACOMA, WA 98405-1702
(253) 272-3090
(253) 627-1415
Mailing address
5000 CHESHIRE PKWY N, PLYMOUTH, MN 55446-4103
(763) 268-4388
(763) 268-4017
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
22636
OR
231H00000X
Audiologist
Primary
LD60190162
WA
Other
Enumeration date
11/13/2006
Last updated
06/10/2011
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