Individual
KATHERINE KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 W JEFFERSON RD, CHEYENNE, WY 82007-2329
(307) 640-1614
Mailing address
902 W JEFFERSON RD, CHEYENNE, WY 82007-2329
(307) 640-1061
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/22/2015
Last updated
07/31/2015
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