Individual
MS. DONNA SUE HAWK I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 PERKINS CREEK DR, PADUCAH, KY 42001-7494
(270) 444-8465
Mailing address
1107 COON CHAPEL RD, SMITHLAND, KY 42081-9103
(270) 508-0905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1043925
KY
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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