Provider Demographics
NPI:1679735344
Name:KOPCHIK, KIMBERLY SUE (APN)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:SUE
Last Name:KOPCHIK
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3989 E ARAPAHOE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2077
Mailing Address - Country:US
Mailing Address - Phone:303-500-0230
Mailing Address - Fax:303-500-0236
Practice Address - Street 1:3989 E ARAPAHOE RD STE 110
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-2077
Practice Address - Country:US
Practice Address - Phone:303-500-0230
Practice Address - Fax:303-500-0236
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN0993304-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily