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Organization

DOCTORS KIME KOPAN ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LINDA M BORRELL (ACCOUNTS MANAGER)
(419) 475-6181
Entity
Organization

Contact information

Practice address
4021 W SYLVANIA AVE, TOLEDO, OH 43623-4428
(419) 475-6181
(419) 475-5720
Mailing address
4021 W SYLVANIA AVE, TOLEDO, OH 43623-4428
(419) 475-6181
(419) 475-5720

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2690T513
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0854286
OH
Enumeration date
12/04/2006
Last updated
03/31/2015
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