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Individual

KELLEY M. HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
166 PASADENA DR STE 150, LEXINGTON, KY 40503-2938
(859) 276-1452
(859) 277-1237
Mailing address
DEPT. 453 PO BOX 1000, MEMPHIS, TN 38148-0001
(828) 575-2625
(828) 350-2174

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006109
KY
363LF0000X
Family Nurse Practitioner
6109P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100096040
KY
01
K145333
MEDICARE PTAN
KY
Enumeration date
07/21/2009
Last updated
10/30/2023
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