Individual
DR. KENNY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 GILPIN AVENUE, WILMINGTON, DE 19806
(302) 428-6100
Mailing address
1100 GILPIN AVENUE, WILMINGTON, DE 19806
(302) 428-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C10002035
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000147002
—
DE
Enumeration date
09/29/2006
Last updated
07/08/2007
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