Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyle Gene Cooper, PA-C

Individual provider Physician Assistant · NPI 1982786380

Kyle Gene Cooper, PA-C is a Physician Assistant in Eglin AFB, Florida. Qualified in 1997, 29 years ago. Practices with Crestview Urgent Care, Inc, a 12-clinician group and accepts Medicare assignment.

Years since qualifying
29
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6069 Walkers Ln
Eglin AFB, FL 32542-8505
Phone: (850) 882-1208
Fax: (850) 882-1194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1982786380
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Crestview Urgent Care, Inc. — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Eglin AFB