Individual
MRS. MARTHA D HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3004019
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321166
ANTHEN BC BS HHC
KY
01
—
78009677
PASSPORT HEALTH HHC
KY
05
—
78009677
—
KY
Enumeration date
03/09/2006
Last updated
01/29/2014
Update your record
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