Individual
DR. REBECCA ELISE POPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
03699
KY
207QS0010X
Sports Medicine (Family Medicine) Physician
34.011667
OH
Other
Enumeration date
03/20/2011
Last updated
07/09/2021
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