Healthcare Provider Details

I. General information

NPI: 1629915343
Provider Name (Legal Business Name): KENNA HOPKINS
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 W WETMORE RD
TUCSON AZ
85705-1547
US

IV. Provider business mailing address

701 W WETMORE RD
TUCSON AZ
85705-1547
US

V. Phone/Fax

Practice location:
  • Phone: 520-696-5234
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: