Individual
TRACY M COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W JEFFERSON ST, BEREA, KY 40403-1545
(859) 452-0668
Mailing address
5003 APPALACHIAN CT, BEREA, KY 40403-9548
(859) 452-0668
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1202229
KY
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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