Individual
MR. MICHAEL A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
CHANDLER MEDICAL CTR DIVISION OF GASTROENTEROLOGY, 800 ROSE STREET, ROOM MN 649, LEXINGTON, KY 40536-0001
(859) 323-5021
(859) 257-8860
Mailing address
922 CHARWOOD DR, LEXINGTON, KY 40515-5009
(859) 273-5579
(859) 257-8860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA145
KY
363AM0700X
Medical Physician Assistant
PA145
KY
363AS0400X
Surgical Physician Assistant
PA145
KY
Other
Enumeration date
12/09/2005
Last updated
07/20/2020
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