MEDICARE: KATHERINE OAKLEY KOPINSKI M.D.

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
1	207Q00000X	Family Medicine Physician	54790	TN

General Provider Information

NPI Number	:	1851734347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE OAKLEY KOPINSKI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1000
Second Line	:	DEPT 978
City	:	MEMPHIS
State	:	TN
Zip	:	38148-0978
Country	:	US
Telephone Number	:	901-758-9900
Fax Number	:

Provider Business Practice Location Address
First Line	:	2589 APPLING RD
Second Line	:	#101
City	:	BARTLETT
State	:	TN
Zip	:	38133-5099
Country	:	US
Telephone Number	:	901-752-2300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2013
Last Update Date	:	08/08/2016

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