Individual
DR. KEVIN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.072794
IL
207R00000X
Internal Medicine Physician
Primary
75818-21
WI
Other
Enumeration date
04/01/2018
Last updated
08/09/2021
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