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Contact Information

JONATHAN KOOP, MD
7370 TURFWAY RD
STE 390
FLORENCE, KY41042
 Phone: 859-212-5125
 Fax: 859-212-5099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JONATHAN KOOP · (Male)

NPI Number 1184917833
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2011
Last updated 09/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 45549
  • OH License # 57.015507
  • IN Medicaid 201164500
  • KY Medicaid 7100206600
  • OH Medicaid 0070053
  • KY Other P01103044 RR MEDICARE
Hospital affiliation(s)
  • ST ELIZABETH MEDICAL CENTER NORTH - (Acute Care)
    1 MEDICAL VILLAGE DRIVE
    LAKESIDE PARK, KY 41017
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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