Individual
FELICIA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2605 KENTUCKY AVE, SUITE 601, PADUCAH, KY 42003-3800
(270) 408-4368
(270) 408-3272
Mailing address
2605 KENTUCKY AVE, SUITE 306, PADUCAH, KY 42003-3800
(270) 415-7653
(270) 575-8359
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010705
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100436490
—
KY
Enumeration date
09/12/2016
Last updated
03/29/2017
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