Individual
MRS. MISSY S HAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3026 POPLAR LEVEL RD, LOUISVILLE, KY 40217-1301
(502) 636-4929
(502) 394-3629
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 559-9415
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30003657
KY
Other
Enumeration date
11/08/2006
Last updated
01/31/2024
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