Individual
KELLY HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1601 SW ARCHER RD, BRRC (151A) MALCOM RANDALL VAMC, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
4301 NW 21ST ST, GAINESVILLE, FL 32605-1709
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
P31067
FL
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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