Individual
TELL B. COPENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16575 W 119TH ST, OLATHE, KS 66061-7770
(913) 815-5508
(855) 446-7281
Mailing address
6416 OLD WINTER GARDEN RD, ORLANDO, FL 32835-1348
(407) 751-7288
(407) 770-0661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-14418
KS
207Q00000X
Family Medicine Physician
109097
MO
Other
Enumeration date
03/22/2007
Last updated
01/13/2020
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