Individual
KATHRYN COPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOM
Contact information
Practice address
3721 CLOVER LN, MADISON, WI 53714-2901
(919) 665-7854
Mailing address
3721 CLOVER LN, MADISON, WI 53714-2901
(919) 665-7854
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
804-55
WI
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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