Individual
KRISTI M HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 S UNIVERSITY AVE, STE 200, LITTLE ROCK, AR 72205-5302
(501) 664-4117
(501) 664-1137
Mailing address
500 S UNIVERSITY AVE, STE 200, LITTLE ROCK, AR 72205-5302
(501) 664-4117
(501) 664-1137
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-3654
AR
208000000X
Pediatrics Physician
Primary
E-3654
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03100012500
QUALCHOICE
AR
05
—
150520001
—
AR
01
—
2346630
UNITED HEALTHCARE
AR
01
—
6165666
CIGNA
AR
01
—
7900460
AETNA
AR
01
—
P00067812
RAILROAD MEDICARE
AR
Enumeration date
07/13/2005
Last updated
10/11/2011
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