Individual
MRS. BRENDA CAROLYN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC,ARNP
Contact information
Practice address
1101 JEFFERSON ST, PADUCAH, KY 42001-1835
(270) 442-5842
(270) 442-9948
Mailing address
1101 JEFFERSON ST, PADUCAH, KY 42001-1835
(270) 442-5842
(270) 442-9948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1046053
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78015633
—
KY
Enumeration date
10/24/2006
Last updated
07/08/2007
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