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Kenneth Edward Kopitzke
Military Health Care Provider in Clearwater, Florida
NPI 1326215724

Kenneth Edward Kopitzke is a Military Health Care Provider based in Clearwater, FL. Kenneth Edward Kopitzke practices in Clearwater, FL. The NPI Number for Kenneth Edward Kopitzke is 1326215724 and holds a License No. (Florida).

The current practice location address for Kenneth Edward Kopitzke is 15100 Rescue Way, Clearwater, FL and can be reached out via phone at 727-535-1437 and via fax at 727-535-4190.

Location: 15100 Rescue Way, Clearwater, FL, 33762
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326215724
Provider Name
Kenneth Edward Kopitzke
Credential
Provider Entity Type
Individual
Gender
Male
Address
15100 Rescue Way, Clearwater, FL, 33762
Phone Number
727-535-1437
Fax Number
727-535-4190
Provider Enumeration Date
05/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15100 Rescue Way
City
Clearwater
State
Florida
Zip
33762
Phone Number
727-535-1437
Fax Number
727-535-4190
person
Provider Business Mailing Address Details
Address
15100 Rescue Way
City
Clearwater
State
Florida
Zip
33762
Phone Number
727-535-1437
Fax Number
727-535-4190
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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