Individual
KATHY NICOLE COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
21409 KELLY RD, SUITE 400, EASTPOINTE, MI 48021-3264
(586) 777-0630
(586) 777-0631
Mailing address
36115 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004702
MI
Other
Enumeration date
10/24/2007
Last updated
08/06/2014
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