Individual
KATHLEEN F COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8585 PICARDY AVE, STE 100, BATON ROUGE, LA 70809
(225) 763-4903
(225) 763-4938
Mailing address
PO BOX 261166, BATON ROUGE, LA 70826
(337) 289-8978
(337) 289-8970
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP02466
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1107352
—
LA
Enumeration date
11/20/2007
Last updated
11/20/2007
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