Individual provider · NPI-1

John Gregory Cooper, MD

Family Medicine · Cynthiana, KY

NPI number1740229939
StatusActive
Last updated in NPPESSep 26, 2012

Details

NPI
1740229939
Entity type
Individual (NPI-1)
Name
John Gregory Cooper
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 5, 2006
Last updated
Sep 26, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine21195KYYes

Practice location

1210 Ky Highway 36 E
Suite 2 C
Cynthiana, KY 41031-7490

Phone 859-234-6000 · Fax 859-234-6011

Mailing address

1210 Ky Highway 36 E
Suite 2 C
Cynthiana, KY 41031-7490

Phone 859-234-6000 · Fax 859-234-6011

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