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

KANTRELLE DAMONE COOPER, LPN

Active Sole Proprietor

KANTRELLE DAMONE COOPER, LPN is a Licensed Practical Nurse healthcare provider located in OAK CREEK, Wisconsin. NPI 1760050306 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · OAK CREEK, WI

Registration Details

NPI Number
1760050306
Provider Type
Individual
Gender
Male
NPI Issued
Jun 10, 2021 (5.2013852620551 yrs)
Last Updated
Jun 10, 2021
License
325962-31 (WI)
Sole Proprietor
Yes

Practice Information

Address
2700 W HONADEL BLVD
OAK CREEK, WI, 531542650
Browse WI providers · Browse ZIP 53154
Phone
4144352005
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in OAK CREEK, WI

Name Credential NPI
MRS. JEANETTE ANN KOHLBECK-ZALAR LPN 1871815746
MRS. CLAUDINE MBALA TEZZO LPN 1700178886
CYNTHIA LOWE 1194142232
JEFF TAYLOR 1043685860
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.