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Individual
KELLEY M. HAWKINS
Active
Individual
KELLEY M. HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006109
KY
363LF0000X
Family Nurse Practitioner
6109P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100096040
—
KY
01
—
K145333
MEDICARE PTAN
KY
Enumeration date
07/21/2009
Last updated
10/30/2023
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