Individual
KELLY J HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., C.N.P.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3375
MN
363L00000X
Nurse Practitioner
R131031-7
MN
Other
Enumeration date
10/15/2010
Last updated
08/07/2020
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