MEDICARE: VALERIE KAY HOTOP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2025044219	MO

General Provider Information

NPI Number	:	1578425070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE KAY HOTOP

Provider Business Mailing Address
First Line	:	286 PCR 506
Second Line	:
City	:	PERRYVILLE
State	:	MO
Zip	:	63775-8855
Country	:	US
Telephone Number	:	573-331-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 SAINT FRANCIS DR
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63703-5049
Country	:	US
Telephone Number	:	573-331-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ VALERIE KAY HOTOP ” Practice Location

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