Individual
KRISTIN C COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
802 OAK ST, KENOVA, WV 25530-1519
(304) 400-2100
Mailing address
1210 21ST ST, HUNTINGTON, WV 25703-2028
(304) 400-2100
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Enumeration date
08/30/2013
Last updated
08/13/2025
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