Individual provider · Type 1 NPI

Shannon Kopp, PA-C

Medical Physician Assistant · Lawrence, KS

NPI number 1467935148 Active

Practice location

4921 W 18th St
Lawrence, KS 66047-2090

Fax (785) 830-0115

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1467935148

Shannon Kopp, PA-C's National Provider Identifier is 1467935148, issued on Sep 10, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lawrence, KS. The record was last updated on Sep 10, 2018.