LEANN DALTON COOPER

RUSSELL SPRINGS, KY
NPI1922414481
Other NameLEANN COOPER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KY  50197)
Additional Taxonomies207Q00000X Family Medicine
(Licence: KY  R3457)
Enumeration Date2014-07-05
Last Update Date2019-03-12
Business Address
LEANN DALTON COOPER
124 DOWELL RD
RUSSELL SPRINGS, KY 42642
Phone number: 270-866-2440
Mailing Address
LEANN DALTON COOPER
124 DOWELL RD
RUSSELL SPRINGS, KY 42642-4278
Phone number: 270-866-2440