Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY JO COOKE, DO
ActiveDR. KELLY JO COOKE, DO is a Hematology healthcare provider located in WAUKESHA, Wisconsin. NPI 1528276417 is currently active in the NPPES registry. Verify at CMS.
Hematology · WAUKESHA, WI
Registration Details
- NPI Number
- 1528276417
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 21, 2007 (19.239375364422 yrs)
- Last Updated
- Jan 17, 2014
- Licenses
-
036105206 (IL)61139 (WI)BP20022320 (TX)
Practice Information
- Address
-
721 AMERICAN AVE STE 508PROHEALTH CARE MEDICAL ASSOCIATES INC.WAUKESHA, WI, 531885071Browse WI providers · Browse ZIP 53188
- Phone
- 2629284898
- Primary Specialty
-
Hematology
207RH0002X
- Additional Specialty
- Hematology
- Additional Specialty
- Hematology
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.