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COOPER L NICKEL M.D.

Individual Provider (NPI-1) Active

Family Medicine

Provider Information

NPI Number
1396279378
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
761 W 175TH ST S, CALDWELL, KS, 670228301
Phone
(620) 845-6492

Specialties & Taxonomies

Family Medicine Primary License: KS #04-41127
Emergency Medicine License: KS #04-41127

All Addresses

MAILING

4612 HEARTHSIDE DR

LAWRENCE, KS, 660493740

LOCATION

761 W 175TH ST S

CALDWELL, KS, 670228301

(620) 845-6492