Individual provider · Type 1 NPI
Louis Kopack
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1306716774
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP034340 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1306716774
Louis Kopack's National Provider Identifier is 1306716774, issued on Nov 10, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 17, 2026.