Individual
DR. CARL D COPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3950 KRESGE WAY STE 402, LOUISVILLE, KY 40207-5914
(502) 893-3683
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0325
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
28995
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045699
ANTHEM
KY
01
—
040011473
RAILROAD MEDICARE
KY
01
—
1052620
PASSPORT
KY
01
—
2862
BCBS
KY
05
—
64289952
—
KY
Enumeration date
10/07/2005
Last updated
04/14/2023
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