Hawkins, Kimberly M

Hawkins, Kimberly M is an individual health care provider with primary practice located at 1241 W Stadium Blvd , Jefferson City MO 65109-6023. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hawkins, Kimberly M can be contacted via phone (573) 636-5248.

Contact Information

Primary practice address
1241 W Stadium Blvd Jefferson City MO 65109-6023
Phone: (573) 636-5248
Fax: (573) 636-9390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2005008762 Missouri

Profile Details

NPI number 1730158387
LBN Legal business name Hawkins, Kimberly M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jun 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730158387 NPPES
Other 1417926676 GROUP NPI
Other 990000530 GROUP NPI

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