Individual
MRS. KELLI S HOPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13190 BOLEN RD NE, NEWARK, OH 43055-8813
(740) 763-4055
Mailing address
13190 BOLEN RD NE, NEWARK, OH 43055-8813
(740) 763-4055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-260425
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2646506
—
OH
Enumeration date
06/01/2007
Last updated
07/08/2007
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