Individual
KEVIN WILLIAM KOPERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-6840
(864) 455-3225
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
16138
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161381
—
SC
01
—
P00843380
RAILROAD MEDICARE
SC
Enumeration date
05/18/2006
Last updated
06/07/2023
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