Kopach, Kathleen

Kopach, Kathleen is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Orthopedics, Jacksonville FL 32209-6511. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Kopach, Kathleen can be contacted via phone (904) 244-6224.

Contact Information

Primary practice address
655 W 8Th St Ufjp Orthopedics Jacksonville FL 32209-6511
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME58668 Florida

Profile Details

NPI number 1205825171
LBN Legal business name Kopach, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Feb 17th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205825171 NPPES
Georgia MEDICAID 000469807B
Georgia MEDICAID 0168527-00

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