Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kantrelle Damone Cooper, LPN

Individual provider Licensed Practical Nurse · NPI 1760050306

Kantrelle Damone Cooper, LPN is a Licensed Practical Nurse in Oak Creek, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2021
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

2700 W Honadel Blvd
Oak Creek, WI 53154-2650
Phone: (414) 435-2005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 325962-31 (WI)

Record details

NPI number1760050306
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedJune 10, 2021
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021

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