Provider Demographics
NPI:1780559484
Name:COOPER, KENT BARTON (DVM)
Entity type:Individual
Prefix:
First Name:KENT
Middle Name:BARTON
Last Name:COOPER
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3315 PRESCOTT WAY
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-4757
Mailing Address - Country:US
Mailing Address - Phone:707-699-2674
Mailing Address - Fax:
Practice Address - Street 1:3315 PRESCOTT WAY
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-4757
Practice Address - Country:US
Practice Address - Phone:707-688-2674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4465174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian