Individual
KRISTINE KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
455 STATE RD UNIT 12, VINEYARD HAVEN, MA 02568-5695
(508) 696-1863
Mailing address
455 STATE RD UNIT 12, VINEYARD HAVEN, MA 02568-5695
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008606
GA
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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