SearchPennsylvania367500000X

Jonathan Kopka, CRNA

NPI 1518213586 · on the registry since 2012

Practice

Address
673 Wyoming Ave Apt C
Kingston, PA 18704
Phone
(570) 709-1509

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-07-27

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