Provider Demographics
NPI:1851734347
Name:KOPINSKI, KATHERINE OAKLEY (MD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:OAKLEY
Last Name:KOPINSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:DEPT 978
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38148-0978
Mailing Address - Country:US
Mailing Address - Phone:901-758-9900
Mailing Address - Fax:
Practice Address - Street 1:2589 APPLING RD
Practice Address - Street 2:#101
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-5099
Practice Address - Country:US
Practice Address - Phone:901-752-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN54790207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine