Individual
KASIE D COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
40 W 14TH ST STE 3, HELENA, MT 59601-3385
(140) 683-9189
Mailing address
40 W 14TH ST STE 3, HELENA, MT 59601-3385
(402) 272-5941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
122910
MT
Other
Enumeration date
01/27/2021
Last updated
07/25/2023
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