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Individual

DR. KENNETH HOPPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
152 BAY ST, GLENS FALLS, NY 12801-2329
(519) 792-1300
Mailing address
152 BAY ST, GLENS FALLS, NY 12801-2329

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
096365-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00361091
NY
Enumeration date
08/17/2006
Last updated
05/27/2016
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