Individual
KOREN F COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16011 KAIROS RD, SUITE 300, SOUTH CHESTERFIELD, VA 23834
(804) 520-5223
(804) 520-5746
Mailing address
107 WADSWORTH DR, NORTH CHESTERFIELD, VA 23236-4521
(804) 330-4901
(804) 330-9141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-03871
NC
363A00000X
Physician Assistant
Primary
0110005485
VA
Other
Enumeration date
10/16/2012
Last updated
09/06/2018
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