Dr. Kevin Paul Kooiker
Emergency Physician Emergency Medical Services
1515 Lyndale Ave
Eau Claire
, Wisconsin 54701-4362
Dr. Kevin Paul Kooiker
Emergency Physician Emergency Medical Services
1515 Lyndale Ave
Eau Claire
, Wisconsin 54701-4362
(612) 978-1086
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About
Features
Specialties
- Emergency Physician
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dr. Kevin Paul Kooiker
- 1515 Lyndale Ave
- Eau Claire, WI
- Zip : 54701-4362
- Phone : (612) 978-1086
Second Address
- Dr. Kevin Paul Kooiker
- 1515 Lyndale Ave
- Eau Claire, WI
- Zip : 54701-4362
- Phone : (612) 978-1086
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 30773 | MN |
| Y | 207PE0004X | Emergency Medical Services | 61479 | WI |
National Provider Identifier
| NPI | 1134174949 |
|---|---|
| Provider Name | Dr. Kevin Paul Kooiker |
| First Address | Eau Claire, WI 54701-4362 |
| Second Address | Eau Claire, WI 54701-4362 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2006 |
| Last Update Date | 24/01/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 588085800 | (05) | MN |
| B36692 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.