| Doctor Name: | KELLY HOPPE |
| NPI Number: | 1164825634 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 2014025551 |
| Business Practice Address: | 11560 Olive Blvd Creve Coeur, MO - 631417111 |
| Business Phone Number: | 3149957128 |
| Business Fax Number: | |
| Mailing Address: | 5533 Gresham Ave, SAINT LOUIS |
| State: | MO |
| Postal Code: | 631093707 |
| Phone Number: | 3146501516 |
| Fax Number: | |
| NPI Enumeration Date: | 09/29/2014 |
| NPI Last Update Date: | 05/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2014025551 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |