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KIMBERLY ANN COOPER DO NPI 1386050524


NPI Information

NPI: 1386050524
Provider Name: KIMBERLY ANN COOPER, DO
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1640 FLOSSIE DR
GREENDALE, IN
ZIP 47025
Phone: (877) 670-7264
Get Directions

Kimberly Ann Cooper, DO is a pediatrics in Greendale, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Kimberly Ann Cooper, DO NPI is 1386050524. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1640 FLOSSIE DR
GREENDALE, IN
ZIP 47025-424
Phone: (877) 670-7264
Fax: (812) 539-1824

The NPI 1386050524 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2014 and was last updated on 5/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics01087306AINDIANAYes
2208000000XPediatrics34012820OHIONo
3390200000XStudent in an Organized Health Care Education/Training ProgramLOUISIANANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10226978MEDICAIDOHIO
22367501MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.