NPI 1003646944

Michael Dylan Cooper, BSNRN

Practitioner Administrator Registered Nurse Louisville, KY

Practice location

Address: 1 Audubon Plaza Dr, Louisville, KY 40217-1318
Phone: (606) 282-0971
Mailing address: 12202 Redspire Dr Unit 304, Louisville, KY 40299-6178

Registered specialties

Administrator Registered Nurse Primary

Nursing Service Providers Taxonomy 163WA2000X Licence 1180716 (KY)

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Registry record

NPI: 1003646944
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Aug 2024
Record last updated: 6 Aug 2024

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.