KELLY M COOPER PA NPI 1861444168

NPI Information

NPI: 1861444168
Provider Name: KELLY M COOPER, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
14100 PARKWAY COMMONS DR
SUITE 100
OKLAHOMA CITY, OK
ZIP 73134
Phone: (405) 286-9820
Get Directions

Kelly M Cooper, PA is a medical physician assistant in Oklahoma City, OK with 27 years of experience. Kelly M Cooper, PA NPI is 1861444168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14100 PARKWAY COMMONS DR
SUITE 100
OKLAHOMA CITY, OK
ZIP 73134-103
Phone: (405) 286-9820
Fax: (405) 286-9813

The NPI 1861444168 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 2/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	874	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	446586302001	OTHER	OKLAHOMA	BC/BS
2	P00083013	OTHER	OKLAHOMA	MEDICARE RR
3	200052210A	MEDICAID	OKLAHOMA
4	248733802	MEDICARE PIN	OKLAHOMA
5	446586302003	OTHER	OKLAHOMA	BC/BS OF OK
6	P00454308	OTHER	OKLAHOMA	MEDICARE RR
7	244419502	MEDICARE PIN	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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