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Contact Information

KELLY J COOKE, DO
721 AMERICAN AVE STE 508
PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI53188-5071
 Phone: 262-928-4898
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KELLY J COOKE · (Female)

NPI # 1528276417
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/21/2007
Last updated 01/17/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036105206
  • TX License # BP20022320
  • WI License # 61139
Hospital affiliation(s)
  • OCONOMOWOC MEMORIAL HSPTL - (Acute Care)
    791 E SUMMIT AVE
    OCONOMOWOC, WI 53066
  • WAUKESHA MEMORIAL HOSPITAL - (Acute Care)
    725 AMERICAN AVE
    WAUKESHA, WI 53188
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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