Provider Demographics
NPI:1215418447
Name:HOPKINS, KERSTI MUNRO
Entity Type:Individual
Prefix:
First Name:KERSTI
Middle Name:MUNRO
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 OLD SOUTHBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:DUDLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01571-6823
Mailing Address - Country:US
Mailing Address - Phone:508-981-1706
Mailing Address - Fax:
Practice Address - Street 1:191 PAKACHOAG ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2567
Practice Address - Country:US
Practice Address - Phone:508-755-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-26
Last Update Date:2018-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical