Individual
KENNETH D HOPPENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4608 HIGHWAY 1, RACELAND, LA 70394-2623
(985) 537-6841
(985) 537-8273
Mailing address
105 PERRET DR, SLIDELL, LA 70461-1426
(985) 537-6841
(985) 537-8273
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
018108
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1353825
—
LA
Enumeration date
05/23/2006
Last updated
07/08/2007
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