Kopesky, Kevin Roy

Kopesky, Kevin Roy is an individual health care provider with primary practice located at 202 10Th Street Se , Cedar Rapids IA 52403-2404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Kopesky, Kevin Roy can be contacted via phone (319) 362-5118.

Contact Information

Primary practice address
202 10Th Street Se Cedar Rapids IA 52403-2404
Phone: (319) 362-5118
Fax: (319) 364-0574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 27854 Iowa

Profile Details

NPI number 1366440752
LBN Legal business name Kopesky, Kevin Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Sep 11th, 2013 - about 11 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 1366440752 NPPES
Iowa Other 56506 BLUE CROSS/BLUE SHIELD
Iowa MEDICAID 1067322 BLUE CROSS/BLUE SHIELD

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