Individual
DR. KEVIN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3801 SPRING STREET, RACINE, WI 53405
(262) 687-4011
Mailing address
3801 SPRING STREET, RACINE, WI 53405-1005
(847) 318-9340
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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