KENNETH EDWARD KOPITZKE

CLEARWATER, FL
NPI1326215724
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2008-05-14
Last Update Date2008-05-14
Business Address
-- KENNETH EDWARD KOPITZKE
15100 RESCUE WAY USCG AIR STATION CLEARWATER CLINIC
CLEARWATER, FL 33762
Phone number: 727-535-1437
Mailing Address
-- KENNETH EDWARD KOPITZKE
15100 RESCUE WAY USCG AIR STATION CLEARWATER CLINIC
CLEARWATER, FL 33762
Phone number: 727-535-1437