Individual
KATELIN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 E STEARNS ST, FAYETTEVILLE, AR 72703-5055
(479) 879-0774
Mailing address
1907 W ARROWHEAD ST, FAYETTEVILLE, AR 72701-6738
(479) 879-2858
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004572
AR
Other
Enumeration date
11/13/2015
Last updated
12/13/2016
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