Individual
DR. LAURA KISSEL HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2470 BARDSTOWN RD STE A, LOUISVILLE, KY 40205-2123
(502) 454-9151
(502) 454-8313
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43091
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100081420
—
KY
Enumeration date
05/28/2008
Last updated
08/22/2024
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