Individual
KELLY HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1659 ZACKS FORK RD, LENOIR, NC 28645-6893
(828) 754-8500
Mailing address
1659 ZACKS FORK RD, LENOIR, NC 28645-6893
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1698
NC
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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