Individual
KIMBERLY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
2806 MORGAN LN, PADUCAH, KY 42001-9683
(270) 448-0961
Mailing address
2806 MORGAN LN, PADUCAH, KY 42001-9683
(270) 448-0961
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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