Healthcare Provider Details

I. General information

NPI: 1801871413
Provider Name (Legal Business Name): RICHARD A HOPKINS M.D., F.A.C.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 06/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 W. 74TH ST
SHAWNEE MISSION KS
66204
US

IV. Provider business mailing address

7019 NW EMERALD HILLS DR
KANSAS CITY MO
64152-5154
US

V. Phone/Fax

Practice location:
  • Phone: 913-789-5560
  • Fax:
Mailing address:
  • Phone: 168-017-9218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number04-40663
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: