Provider Demographics
NPI:1588231179
Name:HOPKINS, KYLE HARMON
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:HARMON
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 HIGH ST APT 862
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-5409
Mailing Address - Country:US
Mailing Address - Phone:636-236-9111
Mailing Address - Fax:
Practice Address - Street 1:90 N SUMMIT ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1951
Practice Address - Country:US
Practice Address - Phone:234-571-9110
Practice Address - Fax:234-571-9107
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health