Kelly C Cooper (NPI# 1356509368, PAC ID# 6901124601) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PREVENTATIVE MEDICINE.
| Nation Provider ID (NPI) | 1356509368 |
| PAC ID by PECOS | 6901124601 |
| Professional Enrollment ID | I20150408002868 |
| Full Name | Kelly C Cooper |
| Organization Legal Name | REVIDA RECOVERY CENTERS PC |
| Address |
2001 Highland Ave Knoxville TN 37916-1217 |
| Phone Number | 8656330353 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PREVENTATIVE MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 1153657473 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 2001 Highland Ave, Knoxville, TN 37916-1217 | 8656330353 | REVIDA RECOVERY CENTERS PC |
| Organization Legal Name | REVIDA RECOVERY CENTERS PC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neal Ray Sanders | Pediatric Medicine | Revida Recovery Centers PC | 198 Ross Carter Blvd, Duffield, VA 24244-5117 |
| Marianne E Filka | Addiction Medicine | Revida Recovery Centers PC | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 |
| Andrew Waller | Addiction Medicine | Revida Recovery Centers PC | 300 Valley St Ne, Abingdon, VA 24210-2912 |
| Craig M Haire | Internal Medicine | Revida Recovery Centers PC | 1369 W Andrew Johnson Hwy, Morristown, TN 37814-3725 |
| Guy D Clark | Emergency Medicine | Revida Recovery Centers PC | 2001 Highland Ave, Knoxville, TN 37916-1217 |
| Pamela Beaver Wells | Nurse Practitioner | Revida Recovery Centers PC | 300 Valley St Ne, Abingdon, VA 24210-2912 |
| Hannah Ellen Ratliff | Family Medicine | Revida Recovery Centers PC | 198 Ross Carter Blvd, Duffield, VA 24244-5117 |
| Jennifer C Wisdom-schepers | Psychiatry | Revida Recovery Centers PC | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 |
| Michael P Kauzlarich | Family Medicine | Revida Recovery Centers PC | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 |
| Melanie L Skeen | Addiction Medicine | Revida Recovery Centers PC | 300 Valley St Ne, Abingdon, VA 24210-2912 |
| Street Address |
2001 HIGHLAND AVE |
| City | KNOXVILLE |
| State | TN |
| Zip | 37916-1217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guy D Clark | Emergency Medicine | Revida Recovery Centers PC | 2001 Highland Ave, Knoxville, TN 37916-1217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan C Brumbelow | Nurse Practitioner | Allergy and Asthma Affiliates, PC | 2121 Highland Ave, Knoxville, TN 37916-1111 |
| Tennille J Kent | Nurse Practitioner | Allergy and Asthma Affiliates, PC | 2121 Highland Ave, Knoxville, TN 37916-1111 |
| Donald T Ellenburg | Allergy/immunology | Allergy and Asthma Affiliates, PC | 2121 Highland Ave, Knoxville, TN 37916-1111 |
| Todd Hollibush | Nurse Practitioner | Wellness Solutions Geriatrics, Pllc | 2120 Highland Ave, Knoxville, TN 37916-1112 |
| John C Texada | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| Michael R Liske | Pediatric Medicine | East Tennessee Pediatric Cardiology, P.C. | 2001 Laurel Ave, Suite 4, Knoxville, TN 37916-1810 |
| Scott A Wegryn | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| Guy R Barat | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| Samuel H Feaster | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| Hejung Kim | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| Find all physicians in zip 37916 | |||
| City | KNOXVILLE |
| Zip Code | 37916 |
| Specialty | PREVENTATIVE MEDICINE |
| City + Specialty | KNOXVILLE + PREVENTATIVE MEDICINE |
Please comment or provide details below to improve the information on Kelly C Cooper.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.