WILLIAM ROBERT KUPKE

ERIE, PA
NPI1376144105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA062191)
Additional Taxonomies363A00000X Physician Assistant
(Licence: PA  OA005462)
363A00000X Physician Assistant
(Licence: FL  PA9113667)
363A00000X Physician Assistant
Enumeration Date2020-11-06
Last Update Date2022-01-04
Business Address
WILLIAM ROBERT KUPKE PA-C
232 W 25TH ST
ERIE, PA 16544-0002
Phone number: 814-452-5000
Mailing Address
WILLIAM ROBERT KUPKE PA-C
19749 LAKE PICKETT RD
ORLANDO, FL 32820-4602
Phone number: 407-404-2944