Kylie Marie Cooper
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
333 N 1st St Ste 150
Boise
, Idaho 83702-6135
Kylie Marie Cooper
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
333 N 1st St Ste 150
Boise
, Idaho 83702-6135
(802) 847-5626
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Kylie Marie Cooper
- 111 Colchester Ave Smith 415 Mailstop 251sm4
- Burlington, VT
- Zip : 05401-1473
- Fax : (802) 847-5626
- Phone : (802) 847-4736
Second Address
- Kylie Marie Cooper
- 333 N 1st St Ste 150
- Boise, ID
- Zip : 83702-6135
- Phone : (208) 381-3088
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 0420013113 | VT |
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | M-14071 | ID |
National Provider Identifier
| NPI | 1043509730 |
|---|---|
| Provider Name | Kylie Marie Cooper |
| First Address | Burlington, VT 05401-1473 |
| Second Address | Boise, ID 83702-6135 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/04/2011 |
| Last Update Date | 21/03/2018 |
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.