Individual
WILLIAM L. COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 ALYCIA DR, RICHMOND, KY 40475-2368
(859) 626-3412
(859) 626-3663
Mailing address
103 ALYCIA DR, RICHMOND, KY 40475-2368
(859) 626-3412
(859) 626-3663
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15845
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217321
ANTHEM BLUE CROSS PIN
KY
05
—
64158454
—
KY
01
—
C64416
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
07/03/2006
Last updated
11/30/2013
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