Individual
MS. JENNIFER KISH HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 747-3639
(802) 747-6207
Mailing address
160 ALLEN STREET, MEDICAL STAFF SERVICES, RUTLAND, VT 05701
(802) 747-3639
(802) 747-6207
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
055-0031334
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9001043
—
VT
Enumeration date
02/02/2017
Last updated
09/15/2020
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