Individual
DR. STEPHEN WILLIAM COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2250
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(513) 300-7634
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01100322A
IN
207P00000X
Emergency Medicine Physician
Primary
125071514
IL
207P00000X
Emergency Medicine Physician
Primary
55195
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450380
—
OH
Enumeration date
06/28/2017
Last updated
06/05/2026
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