Individual
KENNETH W. HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
311 N 4TH ST, OAKLAND, MD 21550-1371
(301) 334-7420
(301) 334-1819
Mailing address
311 N 4TH ST, OAKLAND, MD 21550-1371
(301) 334-7420
(301) 334-1819
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
57454
WV
363LF0000X
Family Nurse Practitioner
Primary
R167958
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001587
—
WV
Enumeration date
10/14/2005
Last updated
02/12/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us