Individual
DYLAN PATRICK HOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 RED ROCK CT, SHEPHERDSVILLE, KY 40165-5163
(502) 475-1376
Mailing address
107 RED ROCK CT, SHEPHERDSVILLE, KY 40165-5163
(502) 475-1376
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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