Kathy Nicole Cooley P.A.

NPI 1710176946 - Physician Assistant - 363A00000X

NPI Details
NPI 1710176946
Gender Female
Enumeration Date 10/24/2007
Last Updated 08/06/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
21409 KELLY RD
EASTPOINTE MI, 48021-3264, US
Phone (586) 777-0630
Fax (586) 777-0631
Business Location
LIVONIA MI, 48150-1216, US
Phone (734) 464-0887
Fax (734) 402-0254
Taxonomy Code 363A00000X
License State Michigan
License Number 5601004702
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According to our database, Kathy Nicole Cooley P.A. NPI is 1710176946, taxonomy code is 363A00000X and license number is 5601004702, license state is located at Michigan. Kathy Nicole Cooley P.A. physically located at 21409 Kelly Rd, Eastpointe MI, 48021-3264. NPI Number Kathy Nicole Cooley P.A. has the Individual type.

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1710176946 NPI number is provided on an as is basis without warranty of any kind. 1710176946 is maintained by the National Plan & Provider Enumeration System. The contents of Kathy Nicole Cooley P.A. are for informational purposes only.