Organization
CARY COPELAND DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI COPELAND (MANAGER)
(513) 769-4408
Entity
Organization
Contact information
Practice address
2450 KIPLING AVE, MEDICAL BUILDING 1 SUITE 209, CINCINNATI, OH 45239-6600
(513) 769-4408
(513) 769-4578
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(513) 474-1906
(513) 474-9272
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000250225
ANTHEM
OH
05
—
2399006
—
OH
Enumeration date
10/19/2006
Last updated
02/26/2025
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