Individual
KAITLYN NICOLE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 PHOENIX AVE STE B, FORT SMITH, AR 72903-5092
(479) 785-9091
Mailing address
13630 ROCKY RIDGE RD, BOONEVILLE, AR 72927-6029
(479) 806-8877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
121356
AR
Other
Enumeration date
12/17/2024
Last updated
01/02/2025
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