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Individual

BRIAN R KOPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
6500 GREELEY AVE, KANSAS CITY, KS 66104-2647
(615) 896-6400
Mailing address
9817 WORNALL RD APT M, KANSAS CITY, MO 64114-3995
(615) 896-6400

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
02021
KS

Other

Enumeration date
06/25/2008
Last updated
06/25/2008
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