Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 01057877A | IN |
NPI | 1013921956 |
---|---|
Provider Name | Kathryn A. Copeland |
First Address | Greenwood, IN 46143-1049 |
Second Address | Carmel, IN 46032-4578 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000350999 | ANTHEM PROVIDER NUMBER (01) | IN |
200450500 | (05) | IN |