NPI 1710176946

Kathy Nicole Cooley, PA

Practitioner Physician Assistant Eastpointe, MI

Practice location

Address: 21409 Kelly Rd Suite 400, Eastpointe, MI 48021-3264
Phone: (586) 777-0630
Fax: (586) 777-0631
Mailing address: 36115 Schoolcraft Rd, Livonia, MI 48150-1216

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601004702 (MI)

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Registry record

NPI: 1710176946
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Oct 2007
Record last updated: 6 Aug 2014

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.