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Individual

KAREN LYNN HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6316 MAPLEWOOD RD APT I104, MAYFIELD HTS, OH 44124-1846
(440) 305-2975
Mailing address
6316 MAPLEWOOD RD APT I104, MAYFIELD HTS, OH 44124-1846
(440) 305-2975

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401597261213
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006996001-01
UNITED HEALTHCARE
OH
05
0290511
OH
01
CS1817000143
CARESOURCE
OH
Enumeration date
02/05/2019
Last updated
02/05/2019
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