Individual
BRENDA MARIE KOPRIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
310 E COLLEGE DR, COLBY, KS 67701-3716
(785) 462-6184
(785) 460-1490
Mailing address
310 E COLLEGE DR, COLBY, KS 67701-3716
(785) 462-6184
(785) 460-1490
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0433262
KS
208600000X
Surgery Physician
26100
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201117420A
—
KS
Enumeration date
05/11/2007
Last updated
10/07/2015
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