Search › Pennsylvania › 103K00000X
Breonna Kopac
NPI 1225587991 · on the registry since 2016
Practice
- Address
- 1300 5th Ave
Freedom, PA 15042 - Phone
- (724) 630-4073
Additional practice sites
- 236 Georgia St, Vallejo, CA
- 2191 Kirker Pass Rd, Concord, CA
- 2191 Kirker Pass Rd, Concord, CA
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
101YM0800X
103K00000X
106S00000X - Licence states on file
- CA, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania