Individual
DR. KIRBY W HAWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4 LEISURE WOOD WAY, ORMOND BEACH, FL 32174-6799
(386) 235-4911
Mailing address
4 LEISURE WOOD WAY, ORMOND BEACH, FL 32174-6799
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS0005101
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046380900
—
FL
01
—
5101009342
STATE MEDICAL LICENSE
MI
01
—
OS5101
STATE MEDICAL LICENSE
FL
Enumeration date
11/17/2006
Last updated
12/15/2021
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