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KANTRELLE DAMONE COOPER LPN
NPI 1760050306
Licensed Practical Nurse in Oak Creek, WI

Active since June 10, 2021
2700 W HONADEL BLVD, OAK CREEK, WI 53154(414) 435-2005 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kantrelle Damone Cooper Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANTRELLE DAMONE COOPER LPN (NPI 1760050306) is an individual licensed practical nurse in Oak Creek, Wisconsin, licensed in Wisconsin (325962-31) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1760050306
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameKANTRELLE DAMONE COOPERCredential: LPN
Location Address2700 W HONADEL BLVDOak Creek, WI 53154-2650
Mailing Address2700 W Honadel BlvdOak Creek, WI 53154-2650 · (414) 435-2005
Phone(414) 435-2005
Sole ProprietorYes
Enumeration DateJune 10, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1760050306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WI · 325962-31
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2700 W HONADEL BLVD, Oak Creek, WI 53154
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE MARIE MCGILLICUDDY
Speech-Language Pathologist
2700 W HONADEL BLVD
OAK CREEK, WI 53154
Milwaukee County (414) 435-2005
JACOB JOHNSON
Physical Therapy Assistant
2700 W HONADEL BLVD
OAK CREEK, WI 53154
Milwaukee County (414) 420-2919
OAK CREEK HEALTH AND REHABILITATION CENTER LLC
Skilled Nursing Facility
2700 W HONADEL BLVD
OAK CREEK, WI 53154
Milwaukee County (414) 435-2005
KAMINI S GUPTA FNP-BC
Nurse Practitioner
2700 W HONADEL BLVD
OAK CREEK, WI 53154
Milwaukee County (630) 571-8990
LAUREN FENNELL
Occupational Therapist
2700 W HONADEL BLVD
OAK CREEK, WI 53154
Milwaukee County (414) 435-2005
NOAH HAYALIAN DPT
Physical Therapist
2700 W HONADEL BLVD
OAK CREEK, WI 53154
Milwaukee County (414) 435-2005
JESSICA L KAHLFELDT APNP
Nurse Practitioner
2700 W HONADEL BLVD
OAK CREEK, WI 53154
Milwaukee County (872) 231-3162
MS. CHARMAINE G MOHR NP
Nurse Practitioner
2700 W HONADEL BLVD
OAK CREEK, WI 53154
Milwaukee County (630) 571-8990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kantrelle Cooper's NPI number?

The NPI number for Kantrelle Cooper is 1760050306. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Where is Kantrelle Cooper located?

Kantrelle Cooper practices at 2700 W Honadel Blvd, Oak Creek, WI 53154. The listed phone number is (414) 435-2005.

What is Kantrelle Cooper's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kantrelle Cooper was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.