Organization
COMMUNITY EMERGENCY PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE KOPP M.D. (PRESIDENT)
(270) 651-9586
Entity
Organization
Contact information
Practice address
1301 N RACE ST, GLASGOW, KY 42141-3454
(270) 651-4444
Mailing address
104 RAINTREE PL, GLASGOW, KY 42141-2244
(270) 651-9586
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65935520
—
KY
Enumeration date
09/02/2006
Last updated
06/14/2010
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