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Individual

CASEY COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
7001 BLUE RIDGE BLVD, RAYTOWN, MO 64133-5629
(816) 966-0900
(816) 347-3029
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 966-0900
(816) 347-3069

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025000991
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
53-84291-042
KS

Other

Enumeration date
02/14/2025
Last updated
06/18/2025
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