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NPI Code Detail

MEDICARE: KERRY KOPECKY FNP

MEDICARE: KERRY KOPECKY FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP5740AZ

General Provider Information

NPI Number : 1174931588
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRY KOPECKY FNP
Provider Business Mailing Address
First Line : 6226 E PIMA ST STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85712-7003
Country : US
Telephone Number : 520-298-7200
Fax Number : 520-296-0991
Provider Business Practice Location Address
First Line : 6226 E PIMA ST STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85712-7003
Country : US
Telephone Number : 520-298-7200
Fax Number : 520-296-0991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2014
Last Update Date : 09/27/2021

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Directions to “ KERRY KOPECKY FNP” Practice Location

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