Individual
MR. KEVIN LAMAR HAWKINS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9515 STONEY GLEN DR, MINT HILL, NC 28227-0485
(216) 482-5038
Mailing address
1701 E 12TH ST APT 11L, CLEVELAND, OH 44114-3273
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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