Individual
KELLY KOPPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 W SILVER EAGLE CT, ORO VALLEY, AZ 85755-6573
(520) 878-3997
Mailing address
601 W SILVER EAGLE CT, ORO VALLEY, AZ 85755-6573
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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