MEDICARE: KAYLYN RENEE COOPER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1417430919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLYN RENEE COOPER PA-C

Provider Business Mailing Address
First Line	:	6750 S HIGHLAND DR
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-3019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6750 S HIGHLAND DR
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-3019
Country	:	US
Telephone Number	:	801-747-2371
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2018
Last Update Date	:	09/11/2018

Similar Medicare Providers

1821502469 — FAUSTIN CHAD VIGIL
Practice Location Address:

6750 S HIGHLAND DR
COTTONWOOD HEIGHTS, UT
84121-3019

Practice Phone: 801-685-7246
Practice Fax:

1104434893 — RILEY PYNE WARNER PHYSICIAN ASSISTANT
Practice Location Address:

6750 S HIGHLAND DR
COTTONWOOD HEIGHTS, UT
84121-3019

Practice Phone: 801-685-7246
Practice Fax:

1689289787 — RACHAEL MARIE GORDON
Practice Location Address:

6750 S HIGHLAND DR STE 100
COTTONWOOD HEIGHTS, UT
84121-3019

Practice Phone: 801-685-7246
Practice Fax:

1003538596 — LORI BOWSER APRN
Practice Location Address:

6750 S HIGHLAND DR STE 100
COTTONWOOD HEIGHTS, UT
84121-3019

Practice Phone: 801-685-7246
Practice Fax: 801-747-5487

1992131007 — AMANDA KAIZ
Practice Location Address:

3019 N WILSHIRE LN
ARLINGTON HEIGHTS, IL
60004-1749

Practice Phone: 847-322-5247
Practice Fax:

1821556630 — PRECIOUS OBIANUJU ENYINNA-OKORIE
Practice Location Address:

6431 PENNSYLVANIA AVE APT 201
DISTRICT HEIGHTS, MD
20747-3019

Practice Phone: 667-786-0319
Practice Fax:

Directions to “ KAYLYN RENEE COOPER PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.