KELLY R COOK (PA) – Physician Assistant, NPI 1760577043

KELLY R COOK (PA) is a healthcare provider. based in Coppell, Texas. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. PA03756 (TX). The NPI Number for KELLY R COOK (PA) is 1760577043

Main info

Male
Name
KELLY R COOK (PA)
NPI
1760577043
Phone
(972) 462-0762
Address
580 S DENTON TAP RD STE 123
Enumeration Date
4 October 2006
Last Update Date
23 June 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KELLY R COOK (PA)

  • 123, South Denton Tap Road, Coppell, Dallas County, Texas, 75019, United States

    COPPELL, TX 750194099

    Phone: (972) 462-0762

    Fax: (972) 393-2133

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75019)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for KELLY R COOK (PA)?
KELLY R COOK (PA) — NPI 1760577043 — is the standard way to identify this listing.
Can I rely on KELLY R COOK (PA) being an active provider?
As of the registry snapshot, KELLY R COOK (PA) is marked active.
What healthcare role does KELLY R COOK (PA) hold?
Scheduling teams often label KELLY R COOK (PA) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect KELLY R COOK (PA) on a map?
Expect Coppell, Texas as a primary anchor for KELLY R COOK (PA) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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