Individual
KENYA A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4080 AUGUSTA HWY, GILBERT, SC 29054-8893
(803) 892-1800
(803) 892-1812
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37053
SC
Other
Enumeration date
06/09/2014
Last updated
10/21/2020
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