KELLEY COOPER RN NPI 1679917728

NPI Information

  • NPI: 1679917728
  • Provider Name: KELLEY COOPER, RN
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Individual
  • Address: 2000 DOMANIK DR
    RACINE, WI
    ZIP 53404
  • Phone: (262) 633-4800

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NPI Details

Kelley Cooper, RN is a home health registered nurse in Racine, WI. Kelley Cooper, RN NPI is 1679917728. 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:

2000 DOMANIK DR
RACINE, WI
ZIP 53404-910
Phone: (262) 633-4800

The enumeration date for this NPI number is 4/19/2013 and was last updated on 4/19/2013.

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
1163WH0200XRegistered NurseHome Health128596-30WISCONSINYes

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: 11/21/2025

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