Kelly Copus

NPI #1265882393 in Oscoda, Michigan

Provider Information

NPI Number: 1265882393
Entity Type: Individual
Name: Kelly Copus
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 20, 2016
Last Updated: Jun 20, 2016

Practice Location

Address: 8016 S ALASKA ST UNIT D
City: Oscoda
State: Michigan
ZIP Code: 48750-2276
Phone: (269) 806-7915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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