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NPI Code Detail

MEDICARE: KAY COOPER KITCHEN MD

MEDICARE: KAY COOPER KITCHEN MD
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
1207R00000XInternal Medicine Physician032221GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467448647
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAY COOPER KITCHEN MD
Provider Business Mailing Address
First Line : 2402 OSLER CT
Second Line :
City : ALBANY
State : GA
Zip : 31707-0205
Country : US
Telephone Number : 229-438-3300
Fax Number : 229-438-3384
Provider Business Practice Location Address
First Line : 2402 OSLER CT
Second Line :
City : ALBANY
State : GA
Zip : 31707-0205
Country : US
Telephone Number : 229-438-3300
Fax Number : 229-438-3384
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2005
Last Update Date : 08/15/2011

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Directions to “ KAY COOPER KITCHEN MD” Practice Location

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