KALLIE DANIELE VAN COPPENOLLE NPI 1174080352

NPI Information

NPI: 1174080352
Provider Name: KALLIE DANIELE VAN COPPENOLLE
Classification:
Entity Type: Individual
Address:
339 OPAL CT
STREETSBORO, OH
ZIP 44241
Phone: (330) 780-1369
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Kallie Daniele Van Coppenolle is a healthcare provider in Streetsboro, OH. Kallie Daniele Van Coppenolle NPI is 1174080352. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

339 OPAL CT
STREETSBORO, OH
ZIP 44241-147
Phone: (330) 780-1369

The enumeration date for this NPI number is 2/25/2019 and was last updated on 2/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2255A2300X	Specialist/Technologist	Athletic Trainer			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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