Individual
MS. KRISTEN DEE HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
616 EXECUTIVE PARK, LOUISVILLE, KY 40207
(502) 896-9355
(502) 896-9255
Mailing address
6517 EL RANCHO ROAD, LOUISVILLE, KY 40291
(502) 742-9471
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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