Provider Demographics
NPI:1659941268
Name:COLOPY, COURTNEY KALA'E
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:KALA'E
Last Name:COLOPY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9850 RILEY CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:HOWARD
Mailing Address - State:OH
Mailing Address - Zip Code:43028-9755
Mailing Address - Country:US
Mailing Address - Phone:740-392-4829
Mailing Address - Fax:
Practice Address - Street 1:9850 RILEY CHAPEL RD
Practice Address - Street 2:
Practice Address - City:HOWARD
Practice Address - State:OH
Practice Address - Zip Code:43028-9755
Practice Address - Country:US
Practice Address - Phone:740-392-4829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-26
Last Update Date:2021-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health