Individual
GREGORY E. COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4950 NORTON HEALTHCARE BLVD STE 305, LOUISVILLE, KY 40241-2849
(502) 394-6460
(502) 394-6465
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5395
(025) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
36163
KY
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
36163
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64025240
—
KY
Enumeration date
07/10/2006
Last updated
03/09/2021
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