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Individual

KIM M. COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.P.N.P.

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP129341
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
SP025786
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1040328100001
PA
Enumeration date
10/13/2015
Last updated
07/15/2026
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