Individual
CARRIE A HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
341 BOGLE ST STE A, SOMERSET, KY 42503-2815
(606) 677-0201
(606) 677-0208
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 864-1472
(270) 864-1693
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008768
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3008768
STATE LICENSE
KY
Enumeration date
08/15/2014
Last updated
11/24/2020
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