Individual
MRS. MARTHA D HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1055 WELLINGTON WAY, SUITE 120, LEXINGTON, KY 40513-1259
(859) 219-2828
(859) 219-2845
Mailing address
1055 WELLINGTON WAY, SUITE 275, LEXINGTON, KY 40513-1259
(859) 219-2828
(859) 219-2845
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
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