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Individual

KEVIN C HOPPOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9211 E 21ST ST N, WICHITA, KS 67206-2968
(316) 609-4521
(316) 636-4076
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23264
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
030204
BCBS
KS
01
100451
HPK
KS
01
12149363
MULTIPLAN
KS
01
16845
COVENTRY
KS
01
2370
PHS
KS
Enumeration date
06/25/2006
Last updated
07/13/2007
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