Doctor Name: | KEVIN D. COOPER |
NPI Number: | 1003061391 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A.S., R.D. |
License Number: | RD968057 |
Business Practice Address: | 6270 Midway St Sacramento, CA - 958280907 |
Business Phone Number: | 9163866541 |
Business Fax Number: | 9163866577 |
Mailing Address: | 132 Montgomery St, ROSEVILLE |
State: | CA |
Postal Code: | 956785924 |
Phone Number: | 9166068818 |
Fax Number: | 9167830103 |
NPI Enumeration Date: | 12/01/2008 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | RD968057 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |