Individual
DR. PHILIP S. KOERPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
911 BYPASS RD, PIKEVILLE, KY 41501-1689
(606) 218-3500
(606) 218-4562
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 218-3500
(606) 218-4562
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
38887
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
38887
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64089238
—
KY
Enumeration date
09/20/2005
Last updated
04/05/2016
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