Individual
DAWN M. KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2086 OLD HIGHWAY 135 NW, CORYDON, IN 47112-4015
(812) 734-0303
(812) 225-5145
Mailing address
PO BOX 221273, LOUISVILLE, KY 40252-1273
(812) 734-0303
(812) 225-5145
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28181390A
IN
363LF0000X
Family Nurse Practitioner
3009415
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201305640
—
IN
Enumeration date
06/03/2015
Last updated
04/17/2017
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