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Contact Information

KELLEY COOPER, RN
1909 COMMERCE AVE
CULLMAN, AL35055-6151
 Phone: 256-734-4688
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KELLEY COOPER · (Female)

NPI # 1245761857
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 03/24/2017
Last updated 03/24/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 1-095032
  • AL Medicaid 330000025
Hospital affiliation(s) Not Available
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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