Individual
DR. WILLIAM JOSEPH KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 JACKSON ST, SUITE #208, ANDERSON, IN 46016-4388
(765) 646-8448
(765) 683-3130
Mailing address
2101 JACKSON ST, SUITE #208, ANDERSON, IN 46016-4388
(765) 646-8448
(765) 683-3130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01028142
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084851
BLUE CROSS-BLUE SHIELD
IN
01
—
021761912
MEDICARE RAILROAD
IN
05
—
1001711230A
—
IN
01
—
5986267
AETNA
IN
01
—
7885580002
CIGNA
IN
Enumeration date
01/23/2006
Last updated
12/29/2009
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