Individual
MS. KRISTINA RENAE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
401 6TH AVE, MONTGOMERY, WV 25136-2116
(304) 442-2521
(304) 442-7463
Mailing address
401 6TH AVE, MONTGOMERY, WV 25136-2116
(304) 442-2521
(304) 442-7463
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2146
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003697
—
WV
Enumeration date
08/28/2006
Last updated
02/28/2013
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