Individual
DR. BRETT WILLIAM KINKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 456-2695
(330) 588-8605
Mailing address
9674 CHERRY TREE DR, APT. 312, STRONGSVILLE, OH 44136-2773
(937) 671-1167
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.122391
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102321
—
OH
Enumeration date
03/30/2012
Last updated
07/27/2015
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