Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 270413 | MA |
N | 207V00000X | Obstetrician & Gynecologist | LP02067 | RI |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 270413 | MA |
N | 207VG0400X | Gynecologist | MD042075 | DC |
NPI | 1497069595 |
---|---|
Provider Name | Dr. Katelyn S Kopcsay |
First Address | Springfield, MA 01199-1619 |
Second Address | Springfield, MA 01107-1112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2010 |
Last Update Date | 06/11/2020 |