Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KAVYA KOPPULA, M.D
ActiveFamily Medicine · PARK RAPIDS, MN
Registration Details
- NPI Number
- 1316387467
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 2, 2013 (12.854001870378 yrs)
- Last Updated
- Jul 22, 2016
- Licenses
-
4301103189 (MI)60483 (MN)
Practice Information
- Address
-
705 PLEASANT AVE SPARK RAPIDS, MN, 564701440Browse MN providers · Browse ZIP 56470
- Phone
- 2187322800
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PARK RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| DR. MAURICE WILLIAM SPANGLER | M.D. | 1316906555 |
| DR. THOMAS RICHARD ROLLIE | M.D. | 1508828948 |
| TODD M OFFICER | MD | 1114972221 |
| BRADLEY A REFSLAND | MD | 1174579650 |
| RAE KEASHLY | MD | 1497792352 |
| DAVID C BENSON | MD | 1902845456 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.