Individual
KENNETH BROOKFIELD HAWTHORNE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 N OLD KINGS RD, STE E, ORMOND BEACH, FL 32174
(386) 671-0115
Mailing address
106 N OLD KINGS RD, STE E, ORMOND BEACH, FL 32174
(386) 671-0115
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MEOO63107
FL
Other
Enumeration date
03/24/2006
Last updated
12/01/2020
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