NPI 1124431614 · live from the CMS NPI Registry
Kirsten Cooper, MD
Radiology, Diagnostic Radiology in New Haven, CT. National Provider Identifier 1124431614, active.
NPI record
| NPI | 1124431614 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 20 York St, New Haven, CT 06510 |
| Practice phone | 203-785-2385 |
| Mailing address | Po Box 208042, Yale Department Of Radiology And Biomedical Imaging, New Haven, CT 06520 |
| Enumerated | June 3, 2014 |
| Last updated | July 1, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 63768 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.