Kelly Anne Cooper, is a 
Community Health Worker based in Santa Barbara, California. Kelly Anne Cooper is licensed to practice in California (license number ) and her current practice location is 
305 Camino Del Remedio, Santa Barbara, California. She can be reached at her office (for appointments etc.) via phone at 
(805) 465-8199.
NPI number for Kelly Anne Cooper is 1114411915 and her current mailing address is 113 Japonica Ct, Camarillo, California. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114411915.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Kelly Anne Cooper | 
|---|
| Gender | Female | 
|---|
| Speciality | Community Health Worker | 
|---|
| Location | 305 Camino Del Remedio, Santa Barbara, California | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1114411915
- Provider Enumeration Date: 06/15/2018
- Last Update Date: 05/23/2024
 
		 
		 
Medical Identifiers
		Medical identifiers for Kelly Anne Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1114411915 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary | 
| 172V00000X | Community Health Worker | (California) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Anne Cooper is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Kelly Anne Cooper, 113 Japonica Ct,
 Camarillo, CA 93012-5167
 Ph: (805) 657-2267
 | Kelly Anne Cooper, 305 Camino Del Remedio,
 Santa Barbara, CA 93110-1332
 Ph: (805) 465-8199
 | 
		
		 
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