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Individual

ROBERT SCOTT KOPF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, ACNP

Contact information

Practice address
1530 3RD AVE. SOUTH, THT 422, BIRMINGHAM, AL 35294-0006
(205) 934-3411
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-111891
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051120380
BCBS
AL
01
051120381
BCBS
AL
05
05422701
MS
05
132686
AL
05
132688
AL
01
Z50028
VIVA
AL
Enumeration date
08/26/2011
Last updated
06/29/2023
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