Organization
COOPER FAMILY CHIROPRACTIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WESLEY COOPER DC (OWNER/DOCTOR)
(269) 274-5716
Entity
Organization
Contact information
Practice address
4071 W DICKMAN RD, BATTLE CREEK, MI 49037-7551
(269) 274-5716
Mailing address
4071 W DICKMAN RD, BATTLE CREEK, MI 49037-7551
(269) 274-5716
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008406
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950A312700
BCBSM
MI
Enumeration date
03/04/2011
Last updated
03/18/2011
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