Copeland, Kaitlyn

Copeland, Kaitlyn is an individual health care provider with primary practice located at 405 W Grand Ave , Dayton OH 45405-7538. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Copeland, Kaitlyn can be contacted via phone (937) 723-3200.

Contact Information

Primary practice address
405 W Grand Ave Dayton OH 45405-7538
Phone: (937) 723-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2020012508 Ohio

Profile Details

NPI number 1558971291
LBN Legal business name Copeland, Kaitlyn
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2020
Last updated Mar 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558971291 NPPES
Ohio MEDICAID 0414978

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