Individual
DR. DOUGLAS K HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 475-6523
(513) 475-6423
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5505
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35 045379
OH
207RH0000X
Hematology (Internal Medicine) Physician
35 045379
OH
207RH0003X
Hematology & Oncology Physician
33290
KY
207RX0202X
Medical Oncology Physician
Primary
35 045379
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0444531
—
OH
05
—
100375720
—
IN
05
—
64785694
—
KY
Enumeration date
09/08/2005
Last updated
09/27/2018
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