Provider Demographics
NPI:1508863697
Name:HOPKINS, SIDNEY F (PHD,MD)
Entity Type:Individual
Prefix:DR
First Name:SIDNEY
Middle Name:F
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:PHD,MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1760 NICHOLASVILLE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1471
Mailing Address - Country:US
Mailing Address - Phone:859-277-5711
Mailing Address - Fax:859-278-0443
Practice Address - Street 1:1760 NICHOLASVILLE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1471
Practice Address - Country:US
Practice Address - Phone:859-277-5711
Practice Address - Fax:859-278-0443
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY17796208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64177967Medicaid
KY64177967Medicaid
KYC7525Medicare UPIN
KY020039409Medicare PIN