| Kantrelle Damone Cooper, LPN | |
|
2700 W Honadel Blvd, Oak Creek, WI 53154-2650 | |
| (414) 435-2005 | |
| Not Available |
| Full Name | Kantrelle Damone Cooper |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 2700 W Honadel Blvd, Oak Creek, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760050306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 325962-31 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kantrelle Damone Cooper, LPN 2700 W Honadel Blvd, Oak Creek, WI 53154-2650 Ph: (414) 435-2005 | Kantrelle Damone Cooper, LPN 2700 W Honadel Blvd, Oak Creek, WI 53154-2650 Ph: (414) 435-2005 |
Jeff Taylor, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 8716 S Wood Creek Dr Apt 1, Oak Creek, WI 53154 Phone: 414-439-4997 | |
Cynthia Lowe, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6930 S 20th St, Apt 2116, Oak Creek, WI 53154 Phone: 414-841-8847 | |
Mrs. Claudine Mbala Tezzo, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 8606 South Maize Dr, Oak Creek, WI 53154 Phone: 414-764-8068 Fax: 414-764-8068 | |
Mrs. Jeanette Ann Kohlbeck-zalar, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6766 S Highfield Dr, Oak Creek, WI 53154 Phone: 414-571-7166 |