Individual
SAMANTHA KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 JAMES ROBERTSON PKWY, NASHVILLE, TN 37201-1202
(440) 320-5714
Mailing address
7676 BEAVER CREEK DR, MOUNT JULIET, OH 37122
(440) 320-5714
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.008767RX
OH
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
04/07/2025
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