Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 21431 | OK |
NPI | 1477521557 |
---|---|
Provider Name | Kenneth C Copeland |
First Address | Oklahoma City, OK 73117-1039 |
Second Address | Oklahoma City, OK 73104-4600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 18/01/2011 |