Individual
BRIAN L HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01038764C
IN
207Y00000X
Otolaryngology Physician
Primary
26782
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000477283
ANTHEM PROVIDER ID
KY
01
—
040012433
RAIL ROAD MEDICARE
KY
05
—
100347880
—
IN
05
—
64267826
—
KY
Enumeration date
07/07/2005
Last updated
11/19/2024
Update your record
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