Individual
ANDREW COPPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4030 SULDLER, MAILSTOP 3007, 3901 RAINBOW BLVD, KANSAS CITY, KS 66160
(913) 588-6045
(913) 588-4098
Mailing address
4030 SULDLER, MAILSTOP 3007, 3901 RAINBOW BLVD, KANSAS CITY, KS 66160
(913) 588-6045
(913) 588-4098
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-76084-122
KS
Other
Enumeration date
08/16/2013
Last updated
08/31/2013
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