Individual
TANNER HAWKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-3627
Mailing address
507 AUGUSTA WAY APT 105, MANHATTAN, KS 66502-7199
(402) 618-2991
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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