Individual
DR. JIM KEVIN COPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 S MAIN ST, EMERGENCY DEPARTMENT, WOLFEBORO, NH 03894-4411
(360) 257-9403
Mailing address
PO BOX 912, HUGGINS HOSPITAL, WOLFEBORO, NH 03894-0912
(603) 569-7575
(603) 569-7564
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
16158
NH
207Q00000X
Family Medicine Physician
Primary
16158
NH
207Q00000X
Family Medicine Physician
MDOOO23980
WA
Other
Enumeration date
02/17/2006
Last updated
08/14/2013
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