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Individual

DR. KEVIN L. L. KOPRIVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
6 CALLE MEDICO, SUITE #1, SANTA FE, NM 87505-4761
(505) 982-2553
Mailing address
6 CALLE MEDICO, SUITE #1, SANTA FE, NM 87505-4761
(505) 982-2553

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
897
NM

Other

Enumeration date
03/15/2007
Last updated
07/08/2007
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