Provider Demographics
NPI:1922645274
Name:HOPKINS, KATHRYN LYNN
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LYNN
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 1:2235 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:KAUFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75142-3625
Mailing Address - Country:US
Mailing Address - Phone:214-475-5835
Mailing Address - Fax:
Practice Address - Street 1:2235 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:KAUFMAN
Practice Address - State:TX
Practice Address - Zip Code:75142-3625
Practice Address - Country:US
Practice Address - Phone:972-962-8547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29761183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist