Individual
DR. COREY JOSEPH HAWES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DCN, RD, CSO, CNSC
Contact information
Practice address
403 MARQUIS AVE, LEXINGTON, KY 40502-2129
(502) 797-1190
Mailing address
5294 TROY PIKE, VERSAILLES, KY 40383-8906
(502) 797-1190
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2567
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831218279
KY TAX ID
KY
Enumeration date
09/23/2013
Last updated
08/26/2022
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