Individual
KELLY S. HOPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 315-8968
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008-01359
NC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
2008-01359
NC
Other
Enumeration date
08/05/2007
Last updated
07/15/2024
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