KELLY R COOK PA
NPI 1760577043
Physician Assistant in Coppell, TX

Q: What is Kelly Cook's NPI number?

The NPI number for Kelly Cook is 1760577043. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Kelly Cook's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Cook was last updated on June 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since October 04, 2006

580 S DENTON TAP RD STE 123, COPPELL, TX 75019(972) 462-0762(972) 393-2133 Get Directions Write a Review

NPPES record last updated: June 23, 2009. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Kelly R Cook Pa NPPES

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

KELLY R COOK PA (NPI 1760577043) is an individual physician assistant in Coppell, Texas, licensed in Texas (PA03756) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1760577043

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKELLY R COOKCredential: PA

Location Address580 S DENTON TAP RD STE 123Coppell, TX 75019-4099

Mailing Address580 S Denton Tap Rd Ste 123Coppell, TX 75019-4099 · (972) 462-0762 · Fax (972) 393-2133

Phone(972) 462-0762

Fax(972) 393-2133

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateJune 23, 2009

✔ NPI 1760577043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA03756

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

580 S DENTON TAP RD STE 123, Coppell, TX 75019

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Other Identifiers 3

Medicare UPINQ07338TX

Medicare PIN8L13509TX

Medicare PIN8J2515TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc., Molina Healthcare, Oscar Insurance Company and more.Insurance ›

Other Providers at the Same Location NPPES 9

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

DR. ANU SURY D.O.

Family Medicine