Individual
DR. KENNETH W COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4071 W DICKMAN RD, SPRINGFIELD, MI 49037-7551
(269) 274-5716
Mailing address
693 CAPITAL AVE SW, STE 4, BATTLE CREEK, MI 49015-5024
(269) 274-5716
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008406
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-0-A3-1270-0
BCBSM PIN
MI
Enumeration date
06/22/2005
Last updated
11/14/2016
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