Individual provider · Type 1 NPI

Kenneth Edward Kopitzke

Military Health Care Provider · Clearwater, FL

NPI number 1326215724 Active

Practice location

15100 Rescue Way, Uscg Air Station Clearwater Clinic
Clearwater, FL 33762

Fax (727) 535-4190

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1326215724

Kenneth Edward Kopitzke's National Provider Identifier is 1326215724, issued on May 14, 2008. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Clearwater, FL. The record was last updated on May 14, 2008.