Kulauri Cooper
Individual provider Active NPI Case Manager/Care Coordinator · San Andreas, CA
NPI 1003591165 · NPPES record last updated Jul 31, 2023
Key facts
- NPI
- 1003591165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 564 Mountain Ranch Rd
San Andreas, CA 95249-9782 - Phone
- (209) 498-2227
- Fax
- (209) 498-2042
- NPI assigned
- Jun 16, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
564 Mountain Ranch Rd
San Andreas, CA 95249-9782
Mailing address
564 Mountain Ranch Rd
San Andreas, CA 95249-9782
Phone (214) 709-4375
Other providers in San Andreas, CA
- Lily N Clarkson
- Community Medical Centers
- Community Medical Centers
- Community Medical Team Acute Care Corporation
- Michael Compton
- Samantha Jolene Cooper
- Kevin Cornwell
- Whitney Lucille Couchman
- County of Calaveras
- County of Calaveras
All providers in San Andreas, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.