Individual
DR. KENDALL SCOTT COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
31493
MN
2085R0202X
Diagnostic Radiology Physician
69809
MN
2085R0202X
Diagnostic Radiology Physician
Primary
85305
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100176969
—
WI
Enumeration date
03/24/2020
Last updated
11/17/2025
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