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Individual

DR. JEFFREY KYLE COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2006 FRANKLIN ST SE STE 200, HUNTSVILLE, AL 35801-4537
(256) 539-0457
(256) 539-5827
Mailing address
2006 FRANKLIN ST SE STE 200, HUNTSVILLE, AL 35801-4537
(256) 539-0457
(256) 539-5827

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2021-01340
NC
2085R0202X
Diagnostic Radiology Physician
Primary
45821
AL
2085R0202X
Diagnostic Radiology Physician
67562
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
302328
AL
05
302360
AL
05
303339
AL
05
303340
AL
05
303420
AL
05
303510
AL
05
303527
AL
05
303968
AL
05
303975
AL
05
304019
AL
05
304227
AL
05
306216
AL
05
306336
AL
Enumeration date
06/27/2017
Last updated
08/09/2023
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