NPI 1235200908 · live from the CMS NPI Registry
Kelly M Coop
Audiologist in Tacoma, WA. National Provider Identifier 1235200908, active.
NPI record
| NPI | 1235200908 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 1901 S Union Ave, Ste B-2001, Tacoma, WA 98405 |
| Practice phone | 253-272-3090 |
| Mailing address | 5000 Cheshire Pkwy N, Plymouth, MN 55446 |
| Enumerated | November 13, 2006 |
| Last updated | June 10, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist | 231H00000X | 22636 (OR) |
| Audiologist primary | 231H00000X | LD60190162 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.