MEDICARE: KELSEY DARLENA HOPKINS PA-C

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	363A00000X	Physician Assistant	6197	SC

General Provider Information

NPI Number	:	1588519516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY DARLENA HOPKINS PA-C

Provider Business Mailing Address
First Line	:	PO BOX 23321
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-4321
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 PINNACLE PKWY STE 212
Second Line	:
City	:	ELGIN
State	:	SC
Zip	:	29045-8390
Country	:	US
Telephone Number	:	803-424-8022
Fax Number	:

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

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “ KELSEY DARLENA HOPKINS PA-C” Practice Location

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