Kopitzke, Kenneth Edward

Kopitzke, Kenneth Edward is an sole proprietor health care provider with primary practice located at 15100 Rescue Way Uscg Air Station Clearwater Clinic, Clearwater FL 33762. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Kopitzke, Kenneth Edward can be contacted via phone (727) 535-1437.

Contact Information

Primary practice address
15100 Rescue Way Uscg Air Station Clearwater Clinic Clearwater FL 33762
Phone: (727) 535-1437
Fax: (727) 535-4190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1326215724
LBN Legal business name Kopitzke, Kenneth Edward
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - about 17 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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