Individual
KATHRYN H COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1874 BELTLINE RD SW, DECATUR, AL 35601-5514
(256) 301-3340
(256) 301-3443
Mailing address
157 COUNTY ROAD 378, TRINITY, AL 35673-5346
(256) 355-5169
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
44289
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042380
RN LICENSE
AL
01
—
44289
CRNA LICENSE
AL
Enumeration date
02/05/2007
Last updated
07/08/2007
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