MEDICARE: DONALD HOPEWELL MD LLC

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	2084N0400X	Neurology Physician	R4E31	MO

General Provider Information

NPI Number	:	1326389834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONALD HOPEWELL MD LLC

Provider Business Mailing Address
First Line	:	5B MAGNOLIA CT
Second Line	:
City	:	BRANSON
State	:	MO
Zip	:	65616-2009
Country	:	US
Telephone Number	:	913-748-9597
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 CARONDELET DR
Second Line	:	STE 210
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-4800
Country	:	US
Telephone Number	:	913-748-9597
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DONALD K HOPEWELL
Credential	:	MD
Telephone Number	:	913-748-9597

Provider Enumeration Date	:	03/07/2013
Last Update Date	:	03/07/2013

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