Individual
DR. KYLE JACOB KOPECHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 OLENTANGY RIVER RD, COLUMBUS, OH 43212-3153
(614) 293-4889
Mailing address
1245 E MOUND ST, COLUMBUS, OH 43205-1946
(440) 465-9446
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
57.252220
OH
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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