Organization
COMMUNITY EAR NOSE THROAT & ALLERGY,PLLC
Active
Other names
Community ENT & Allergy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN L HAWKINS M.D. (PRESIDENT)
(502) 425-5556
Entity
Organization
Contact information
Practice address
4950 NORTON HEALTHCARE BLVD., SUITE 209, LOUISVILLE, KY 40241
(502) 425-5556
(502) 992-0079
Mailing address
4950 NORTON HEALTHCARE BLVD, SUITE 209, LOUISVILLE, KY 40241-2845
(502) 425-5556
(502) 992-0079
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200830120A
—
IN
05
—
200830120B
—
IN
05
—
65945636
—
KY
Enumeration date
06/07/2006
Last updated
05/07/2020
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