Provider Demographics
NPI:1851700546
Name:HOPKINS WILLIAMS, TRAVIS BLAKE (AUD)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:BLAKE
Last Name:HOPKINS WILLIAMS
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 19087
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66285-9087
Mailing Address - Country:US
Mailing Address - Phone:913-262-5855
Mailing Address - Fax:913-262-5869
Practice Address - Street 1:12541 FOSTER ST STE 220
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-2301
Practice Address - Country:US
Practice Address - Phone:913-498-2827
Practice Address - Fax:913-498-1052
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019023951231H00000X
KS2261231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist