Provider Demographics
NPI:1285109280
Name:HOPPE, KATHRYN M (APRN)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:M
Last Name:HOPPE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:M
Other - Last Name:LEDBETTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:3426 N PORT DR
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-2242
Mailing Address - Country:US
Mailing Address - Phone:563-262-4101
Mailing Address - Fax:
Practice Address - Street 1:3426 N PORT DR
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-2242
Practice Address - Country:US
Practice Address - Phone:563-262-4101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-05
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA127457163W00000X
IAA160515207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse