Kenneth Hooper Jr.

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

GN-2095-10 Issued in WY

Practice address

345 Main
Lander, WY 82514-0638

Phone

(513) 460-7241

Fax

(307) 332-0131

NPI assigned

May 22, 2014

Last updated

May 22, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1215349477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MAIN",
            "address_2": "PO BOX 638",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825140638",
            "telephone_number": "513-460-7241",
            "fax_number": "307-332-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MAIN",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825140638",
            "telephone_number": "513-460-7241",
            "fax_number": "307-332-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "KENNETH",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "WY",
            "license": "GN-2095-10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105726000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Gunnar Holmes, MD
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• Mary Ellen Honeycutt, PTA
• Ross Hopeman Hopeman
• Emily Marie Horne, MD
• Maegen Horton, MA, LPC
• Terrance Hubenka
• Gretchen Lee Hunter, LAC

• Clinical Laboratory Director (Non-physician) in Lander, WY
• Providers in Lander, WY by specialty
• Clinical Laboratory Director (Non-physician) in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.