Most Relevant Information
Provider Data
| NPI Number: | 1003061391 |
| Provider Name: | KEVIN D. COOPER M.A.S., R.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | RD968057 |
Most Important Dates
| Enumeration Date: | 12/01/2008 |
| Last Updated: | 01/09/2021 |
Provider Practice Location
6270 MIDWAY ST
SACRAMENTO
CA
958280907
Practice Location Phone/Fax
| Phone: | 9163866541 |
| Fax: | 9163866577 |
Provider Mailing Location
1142 DEER RIDGE RD
FRUIT HEIGHTS
UT
840373205
Provider Mailing Phone/Fax
| Phone: | 9166068818 |
| Fax: | 9167830103 |