Individual
DR. KELLY JO COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
721 AMERICAN AVE STE 508, PROHEALTH CARE MEDICAL ASSOCIATES INC., WAUKESHA, WI 53188-5071
(262) 928-4898
Mailing address
721 AMERICAN AVE STE 508, PROHEALTH CARE MEDICAL ASSOCIATES INC., WAUKESHA, WI 53188-5071
(262) 928-4898
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
036105206
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
61139
WI
207RH0003X
Hematology & Oncology Physician
BP20022320
TX
Other
Enumeration date
05/21/2007
Last updated
01/17/2014
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