Individual
BRIAN L HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4950 NORTON HEALTHCARE BLVD, SUITE 209, LOUISVILLE, KY 40241-2831
(502) 425-5556
(502) 425-5655
Mailing address
4950 NORTON HEALTHCARE BLVD, SUITE 209, LOUISVILLE, KY 40241-2831
(502) 425-5556
(502) 425-5655
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
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