Organization
ANDOVER FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRSTEN LEA COOPER M.D. (PHYSICIAN)
(859) 268-0254
Entity
Organization
Contact information
Practice address
2801 PALUMBO DR, SUITE 200, LEXINGTON, KY 40509-1317
(859) 268-0254
(859) 263-0159
Mailing address
PO BOX 55168, LEXINGTON, KY 40555-5168
(859) 268-0254
(859) 263-0159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33166
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000371547
ANTHEM BCBS
KY
01
—
1224232
CHA
KY
01
—
2075768
FIRST HEALTH
KY
01
—
5276688
AETNA
KY
05
—
65944324
—
KY
01
—
84146
WASAU
KY
Enumeration date
12/26/2006
Last updated
08/22/2020
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