# DR. BENJAMIN J KOPECKY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417361072
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 2016009492 | MO | — |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | 2016009492 | MO | — |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | DR.0072113 | CO | Yes |
| 207RC0000X | Cardiovascular Disease Physician | 2016009492 | MO | — |

## Other

- **Enumeration date:** 06/11/2014
- **Last updated:** 11/30/2023