Individual
KELLY CORR COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4420 DIXIE HWY STE 110, LOUISVILLE, KY 40216-2986
(502) 449-6464
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50383
TN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
53370
KY
Other
Enumeration date
05/27/2008
Last updated
02/06/2026
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