Most Relevant Information
Provider Data
| NPI Number: | 1003646944 |
| Provider Name: | MICHAEL DYLAN COOPER BSN, RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WA2000X |
| Specialty: | Registered Nurse |
| License Number: | 1180716 |
Most Important Dates
| Enumeration Date: | 08/06/2024 |
| Last Updated: | 08/06/2024 |
Provider Practice Location
1 AUDUBON PLAZA DR
LOUISVILLE
KY
402171318
Practice Location Phone/Fax
| Phone: | 6062820971 |
| Fax: |
Provider Mailing Location
12202 REDSPIRE DR UNIT 304
LOUISVILLE
KY
402996178
Provider Mailing Phone/Fax
| Phone: | 6062820971 |
| Fax: |