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

Kathy Nicole Cooley, PA

Individual provider Physician Assistant · NPI 1710176946

Kathy Nicole Cooley, PA is a Physician Assistant in Eastpointe, Michigan. Qualified in 2005, 21 years ago. Practices with City Medical PC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

21409 Kelly Rd Ste 400
Eastpointe, MI 48021-3264
Phone: (586) 777-0630
Fax: (586) 777-0631
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004702 (MI)

Record details

NPI number1710176946
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 24, 2007
Last updated in NPPESAugust 6, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice City Medical Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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