Individual
WAYNE R HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1510 CROWN DR, KIRKSVILLE, MO 63501-2553
(660) 627-8387
(660) 627-0878
Mailing address
1416 CROWN DR, KIRKSVILLE, MO 63501-2548
(660) 627-5757
(660) 627-5802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R5C53
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241749126
—
MO
Enumeration date
12/13/2005
Last updated
11/06/2012
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