Organization
H. KENNETH KOPOLOW, OD & ASSOC. PROF. CORP.
Active
Parent organization
KOPOLOW & GIRISGEN OD, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KOPOLOW & GIRISGEN OD, PC
Authorized official
DR. HARLAN KENNETH KOPOLOW O.D. (PRESIDENT)
(702) 733-6764
Entity
Organization
Contact information
Practice address
1300 W SUNSET RD, SUITE #1617, HENDERSON, NV 89014-6620
(702) 341-7254
Mailing address
7361 W LAKE MEAD BLVD, STE. 104, LAS VEGAS, NV 89128-1040
(702) 733-6764
(702) 255-5795
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507865
—
NV
Enumeration date
02/08/2007
Last updated
09/16/2009
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