Provider Demographics
NPI:1750479986
Name:COOPER-COLLINS, KATHERINE ANN (PA)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:ANN
Last Name:COOPER-COLLINS
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Mailing Address - Street 1:10701 EAST BLVD
Mailing Address - Street 2:11J(W)
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1702
Mailing Address - Country:US
Mailing Address - Phone:216-791-3800
Mailing Address - Fax:216-707-5993
Practice Address - Street 1:10701 EAST BLVD
Practice Address - Street 2:11J(W)
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1702
Practice Address - Country:US
Practice Address - Phone:216-791-3800
Practice Address - Fax:216-707-5993
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical