Individual
RYAN JAMES KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 S KINGSHIGHWAY ST, SAINT CHARLES, MO 63301-1693
(314) 803-2976
Mailing address
209 S KINGSHIGHWAY ST, SAINT CHARLES, MO 63301-1693
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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