Provider Demographics
NPI:1801644182
Name:HOPKINS, KRISTIN ELLEN
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:ELLEN
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 1:2903 SURF AVE
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-1540
Mailing Address - Country:US
Mailing Address - Phone:440-714-9837
Mailing Address - Fax:
Practice Address - Street 1:2903 SURF AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-1540
Practice Address - Country:US
Practice Address - Phone:440-714-9837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No172A00000XOther Service ProvidersDriver