Individual
ANN E COPPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
10701 NALL AVE, SUITE 200, OVERLAND PARK, KS 66211-1363
(913) 381-5225
(913) 901-0186
Mailing address
12639 OLD TESSON RD, SUITE 100, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
15-01510
KS
363AM0700X
Medical Physician Assistant
2009030851
MO
363AS0400X
Surgical Physician Assistant
Primary
15-01510
KS
363AS0400X
Surgical Physician Assistant
2009030851
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO1050540
RAILROAD MEDICARE
KS
Enumeration date
08/28/2009
Last updated
02/10/2022
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