Kelly R Cook, PA

NPI #1760577043 in Coppell, Texas

Provider Information

NPI Number: 1760577043
Entity Type: Individual
Name: Kelly R Cook, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 4, 2006
Last Updated: Jun 23, 2009

Practice Location

Address: 580 S DENTON TAP RD STE 123
City: Coppell
State: Texas
ZIP Code: 75019-4099
Phone: (972) 462-0762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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