NPI 1003061391

Kevin D. Cooper, MASRD

Practitioner Registered Dietitian Sacramento, CA

Practice location

Address: 6270 Midway St, Sacramento, CA 95828-0907
Phone: (916) 386-6541
Fax: (916) 386-6577
Mailing address: 1142 Deer Ridge Rd, Fruit Heights, UT 84037-3205

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 9586607 (UT)

Other Dietitian, Registered providers in California →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence RD968057 (CA)

Registry record

NPI: 1003061391
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2008
Record last updated: 9 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.