Provider Demographics
NPI:1982838165
Name:HOPKINS, DORIS MICHELLE (LPN)
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:MICHELLE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3125 CLAAR AVENUE
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-3401
Mailing Address - Country:US
Mailing Address - Phone:937-602-5257
Mailing Address - Fax:
Practice Address - Street 1:3125 CLAAR AVE
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-3401
Practice Address - Country:US
Practice Address - Phone:937-602-5257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-04
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN095406164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse