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Individual

KAI LEWIS COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
Mailing address
4520 HALLAMVIEW LN, LAKELAND, FL 33813-1813
(863) 838-4173

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/07/2025
Last updated
03/18/2025
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