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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENYETTA COOPER, RN, CCM

Active Sole Proprietor

KENYETTA COOPER, RN, CCM is a Registered Nurse healthcare provider located in HARRISON TOWNSHIP, Michigan. NPI 1598284960 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · HARRISON TOWNSHIP, MI

Registration Details

NPI Number
1598284960
Provider Type
Individual
Gender
Female
NPI Issued
Sep 16, 2017 (8.9144325887207 yrs)
Last Updated
Jul 21, 2022
Licenses
4704277201 (MI)
4704277201 (MI)
Sole Proprietor
Yes

Practice Information

Address
36330 UNION LAKE RD APT 103
HARRISON TOWNSHIP, MI, 480456643
Browse MI providers · Browse ZIP 48045
Phone
3134333992
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Registered Nurse

Other Registered Nurse Providers in HARRISON TOWNSHIP, MI

Name Credential NPI
MISS VERNAE JOY FRANKLIN RN 1720405293
SHAKEMMA HOLLOWAY 1225412414
LECHEL JACKSON 1164920153
ZACHARY MICHAEL CHORNOBY RN 1477221109
COLLEEN MURRAY 1679452353
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.