Cooper Ray Vance
NPI #1023734233 in Elizabethtown, Kentucky
Provider Information
- NPI Number
- 1023734233
- Entity Type
- Individual
- Name
- Cooper Ray Vance
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Oct 19, 2022
- Last Updated
- Oct 19, 2022
Practice Location
- Address
- 100 PAR LN
- City
- Elizabethtown
- State
- Kentucky
- ZIP Code
- 42701-9059
- Phone
- (270) 317-0225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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