Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD29402 | TN |
NPI | 1013004118 |
---|---|
Provider Name | Frances B Kopecky |
First Address | Franklin, TN 37067-5914 |
Second Address | Franklin, TN 37067-5914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 29/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G51424 | (02) |