Kevin J Cooper, RN
Registered Nurse in Wausau, WI. Individual provider (NPI-1).
NPI number1366077331
StatusActive
Last updated in NPPESMar 10, 2020
Details
- NPI
- 1366077331
- Entity type
- Individual (NPI-1)
- Name
- Kevin J Cooper
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2020
- Certification date
- Mar 10, 2020
- Last updated
- Mar 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 222253 | WI | Yes |
Practice location
1100 Lake View DrWausau, WI 54403-6799
Phone 715-848-4600
Mailing address
1100 Lake View DrWausau, WI 54403-6799
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 142 Registered Nurse providers in Wausau · All 2,366 providers in Wausau
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