Provider Demographics
NPI:1144589292
Name:COOPER, GENA LYNN (MD)
Entity type:Individual
Prefix:
First Name:GENA
Middle Name:LYNN
Last Name:COOPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3333 BURNET AVE
Mailing Address - Street 2:ML 2008
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-4244
Mailing Address - Fax:513-636-7967
Practice Address - Street 1:1000 S LIMESTONE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-3026
Practice Address - Country:US
Practice Address - Phone:859-323-5901
Practice Address - Fax:859-323-3040
Is Sole Proprietor?:No
Enumeration Date:2012-05-10
Last Update Date:2025-06-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.150707207PP0204X
KY51360207PP0204X, 2080P0204X
MN593572080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
No207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine