Individual
KENNETH COPPERWHEAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2737 WARM SPRINGS RD STE A, COLUMBUS, GA 31904-5328
(706) 660-2950
Mailing address
5100 W 110TH ST STE 110, OVERLAND PARK, KS 66211-1215
(913) 345-6960
(913) 345-6966
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
05-43987
KS
208600000X
Surgery Physician
Primary
92781
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2016
Last updated
09/27/2022
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