Doctor Name: | DR. KENNETH DAVID HOPPER |
NPI Number: | 1740219112 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD040093E |
Business Practice Address: | 1930 State Route 59 Kent, OH - 442404112 |
Business Phone Number: | 3306773632 |
Business Fax Number: | 3306778770 |
Mailing Address: | 1675 E Main St, Box 328 KENT |
State: | OH |
Postal Code: | 442405818 |
Phone Number: | 3306773632 |
Fax Number: | 3306778770 |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD040093E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |