Individual
KENNETH R HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1100 E MICHIGAN AVE STE 201, JACKSON, MI 49201-1849
(517) 205-7605
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3009416
KY
363LF0000X
Family Nurse Practitioner
Primary
3009416
KY
Other
Enumeration date
05/28/2015
Last updated
06/27/2025
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