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NPI Code Detail

MEDICARE: DR. KIMBERLIE A WARD-COOPER M.D.

MEDICARE:  DR. KIMBERLIE A WARD-COOPER  M.D.
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
1208000000XPediatrics Physician40884-20WI

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 : 1528053865
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLIE A WARD-COOPER M.D.
Provider Business Mailing Address
First Line : MILWAUKEE HEALTH SERVICES INC
Second Line : 2555 N DR MARTIN LUTHER KING DR
City : MILWAUKEE
State : WI
Zip : 53212-2709
Country : US
Telephone Number : 414-372-8080
Fax Number : 414-372-1893
Provider Business Practice Location Address
First Line : 2555 N DR MARTIN LUTHER KING DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-2709
Country : US
Telephone Number : 414-372-8080
Fax Number : 414-372-1893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 07/03/2024

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Directions to “ DR. KIMBERLIE A WARD-COOPER M.D.” Practice Location

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