Individual
VERNON KENT COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 S ASH ST, NEVADA, MO 64772-3223
(417) 448-3642
(417) 448-3641
Mailing address
120 WOODLEIGH DR S, BRANSON, MO 65616-3723
(417) 699-0922
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
102825
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206429
BCBS
—
05
—
206698102
—
MO
01
—
P00310772
RAILROAD MEDICARE
—
Enumeration date
06/05/2006
Last updated
07/21/2014
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