Mr Kevin Keller Cooper, OT is a
Occupational Therapist based in Essex, New York. Mr Kevin Keller Cooper is licensed to practice in New York (license number 0132401) and his current practice location is
2736 Rte 22, Essex, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 963-8051.
NPI number for Mr Kevin Keller Cooper is 1700961562 and his current mailing address is Box 85, Essex, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700961562.
Healthcare Provider's Profile
| Full Name | Mr Kevin Keller Cooper |
|---|
| Gender | Male |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 2736 Rte 22, Essex, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700961562
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Kevin Keller Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700961562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 0132401 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kevin Keller Cooper is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Kevin Keller Cooper, OT
Box 85,
Essex, NY 12936
Ph: (518) 963-8051 | Mr Kevin Keller Cooper, OT
2736 Rte 22,
Essex, NY 12936
Ph: (518) 963-8051 |
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