| Kathryn Cooper | |
|
669 Hadley St E Naples FL 34104-0881 | |
| (239) 404-6649 | |
| Not Available |
| Full Name | Kathryn Cooper |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 669 Hadley St E, Naples, Florida |
| Authorized Official Name and Position | Kathryn M Cooper (OWNER, SOLE MEMBER OF LLC) |
| Authorized Official Contact | 2394046649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Cooper 669 Hadley St E Naples FL 34104-0881 Ph: (239) 404-6649 | Kathryn Cooper 669 Hadley St E Naples FL 34104-0881 Ph: (239) 404-6649 |
| NPI Number | 1891250114 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 02/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891250114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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