Provider Demographics
NPI:1366805715
Name:COOPER, KASA B (MD)
Entity type:Individual
Prefix:
First Name:KASA
Middle Name:B
Last Name:COOPER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4301 W MARKHAM ST # 783
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-686-8000
Mailing Address - Fax:501-526-5148
Practice Address - Street 1:801 COTTAGE DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5400
Practice Address - Country:US
Practice Address - Phone:501-686-6067
Practice Address - Fax:501-296-1091
Is Sole Proprietor?:No
Enumeration Date:2016-04-02
Last Update Date:2023-09-27
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Provider Licenses
StateLicense IDTaxonomies
KY56387207X00000X
ARE-15247207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery