Individual
DR. PRESTON BRENT KOPRIVICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
10127 LEAVENWORTH RD, KANSAS CITY, KS 66109-3050
(913) 894-1143
(913) 894-4055
Mailing address
10127 LEAVENWORTH RD, KANSAS CITY, KS 66109-3050
(913) 894-1143
(913) 894-4055
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R5B85
MO
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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