Individual
MR. ROBERT NELSON COOLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1301 N 47TH ST, KANSAS CITY, KS 66102-2152
(913) 328-4609
(913) 328-4603
Mailing address
5515 W 81ST TER, PRAIRIE VILLAGE, KS 66208-4957
(913) 649-0880
(913) 328-4603
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
30772
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208767905
—
MO
Enumeration date
12/11/2006
Last updated
03/27/2014
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