Individual
KATHY ANNETTE KOPEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
52 BEACH RD STE 101, FAIRFIELD, CT 06824-6017
(203) 692-2180
Mailing address
177 WEST AVE APT 5, STAMFORD, CT 06902-5545
(845) 803-9658
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5698
CT
Other
Enumeration date
04/12/2022
Last updated
06/16/2022
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