NPI 1619459062
Emily Nicole Koopman
Practice location
- Address
- 6905 Harris Ave, Kailua, HI 96744
- Phone
- (315) 496-3966
- Mailing address
- 399 Powder Creek Way, Dallas, GA 30157
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1619459062
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Sep 2018
- Record last updated
- 24 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.