Provider Demographics
NPI:1912436940
Name:POPLIN, VICTORIA (MD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:POPLIN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:6067 DELP, MS 1028
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:913-588-3891
Mailing Address - Fax:913-945-6916
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:6067 DELP, MS 1028
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:913-588-3891
Practice Address - Fax:913-945-6916
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-04
Last Update Date:2020-07-02
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Provider Licenses
StateLicense IDTaxonomies
KS94-09178207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS94-09178OtherKANSAS STATE BOARD OF HEALING ARTS