Kenyetta Cooper's National Provider Identifier (NPI) Details
Kenyetta Cooper, LSCWA, LCASA
NPI: 1124687058
Enumeration Date: 2019-06-13
Last updated: 2019-08-30
Sole Proprietor: NO
Status: active
Postal Address: 284 EXECUTIVE PARK DR STE 100, CONCORD, NC
Phone: 704-939-1100
Primary Practice Address: 284 EXECUTIVE PARK DR STE 100, CONCORD, NC
Practice's phone: 704-939-1100