Individual
ANNA COPPOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S PRESTON ST, LOUISVILLE, KY 40202-1716
(502) 583-3951
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010781
KY
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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