Provider Demographics
NPI:1184335432
Name:COOPER, KAILYN NICOLE (DOULA, CBE)
Entity type:Individual
Prefix:
First Name:KAILYN
Middle Name:NICOLE
Last Name:COOPER
Suffix:
Gender:F
Credentials:DOULA, CBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 LAKE RIDGE RD APT 5213
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-4718
Mailing Address - Country:US
Mailing Address - Phone:501-749-0383
Mailing Address - Fax:
Practice Address - Street 1:2600 LAKE RIDGE RD APT 5213
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75056-4718
Practice Address - Country:US
Practice Address - Phone:501-749-0383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula