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Kenneth Hooper JR.
Clinical Laboratory Director (Non-physician) in Lander, Wyoming
NPI 1215349477

Kenneth Hooper JR. is a Clinical Laboratory Director (Non-physician) based in Lander, WY and is specialized in Clinical Laboratory Director, Non-physician. Kenneth Hooper JR. practices in Lander, WY. The NPI Number for Kenneth Hooper JR. is 1215349477 and holds a License No. GN-2095-10 (Wyoming).

The current practice location address for Kenneth Hooper JR. is 345 Main, Lander, WY and can be reached out via phone at 513-460-7241 and via fax at 307-332-0131.

Location: 345 Main, Lander, WY, 82514-0638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215349477
Provider Name
Kenneth Hooper JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
345 Main, Lander, WY, 82514-0638
Phone Number
513-460-7241
Fax Number
307-332-0131
Provider Enumeration Date
05/22/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
105726000 05 WY
institution
Provider Business Practice Location Address Details
Address
345 Main
City
Lander
State
Wyoming
Zip
82514-0638
Phone Number
513-460-7241
Fax Number
307-332-0131
person
Provider Business Mailing Address Details
Address
345 Main
City
Lander
State
Wyoming
Zip
82514-0638
Phone Number
513-460-7241
Fax Number
307-332-0131
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
GN-2095-10 (Wyoming)
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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