Female

Keely L. Cook PA

Medical Physician Assistant in Cape Coral, FL(View on Map)

Full Name

Keely L Cook PA

NPI Number

1225154743

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/22/2007

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Illinois

License Number

085-000551

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 2147
1682 NE PINE ISLAND RD

City

Fort Myers
Cape Coral

State

FL
FL

Postal Code

33902-2147
33909-1756

Country

US
US

Telephone Number

(239) 424-1600
(239) 424-1600

Identifiers

Identifier

100264100
085-000551

Identifier State

FL
IL

Identifier Issuer

Unknown
STATE LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/02/2022

Provider Address

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