Individual
KYLE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4123 DUTCHMANS LN STE 301, LOUISVILLE, KY 40207-4721
(502) 896-2500
(502) 896-2527
Mailing address
1856 EDGELAND AVE, LOUISVILLE, KY 40204-1528
(270) 836-2538
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
TP483
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2016
Last updated
01/19/2021
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