Provider Demographics
NPI:1538496336
Name:HOPKIN, KRISTIN LEE (FAMILY CARE COR)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:LEE
Last Name:HOPKIN
Suffix:
Gender:F
Credentials:FAMILY CARE COR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 MT VILLAGE RD APT C
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:WY
Mailing Address - Zip Code:82930-2159
Mailing Address - Country:US
Mailing Address - Phone:307-799-5068
Mailing Address - Fax:
Practice Address - Street 1:105 MT VILLAGE RD APT C
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:WY
Practice Address - Zip Code:82930-2159
Practice Address - Country:US
Practice Address - Phone:307-799-5068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-16
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator