Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY M COOPER
Active Sole ProprietorKELLY M COOPER is a Optometrist healthcare provider located in SAINT MICHAELS, Maryland. NPI 1124628300 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SAINT MICHAELS, MD
Registration Details
- NPI Number
- 1124628300
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 28, 2020 (5.6511453556641 yrs)
- Last Updated
- Jun 5, 2023
- License
-
TA2775 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1013 S TALBOT STSAINT MICHAELS, MD, 216632637Browse MD providers · Browse ZIP 21663
- Phone
- 9542989913
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.