Individual
KEITH J. KOPEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 10TH ST SE, SUITE 225, CEDAR RAPIDS, IA 52403-2404
(319) 364-7101
(319) 363-1993
Mailing address
202 10TH ST SE, SUITE 225, CEDAR RAPIDS, IA 52403-2404
(319) 364-7101
(319) 363-1993
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
31274
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588649875
—
IA
01
—
P00833585
RR MEDICARE
IA
Enumeration date
12/09/2005
Last updated
05/24/2013
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