Individual
GEORGE MAXWELL BRADFORD COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 VERSAILLES ROAD, LEXINGTON, KY 40536-0293
(859) 323-4756
(859) 323-0069
Mailing address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 257-3573
(859) 323-1123
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
—
Other
Enumeration date
03/25/2024
Last updated
03/17/2025
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