Kenneth Hawthorne in Killeen - Physician Assistant

Kenneth Hawthorne - NPI 1558371021

Kenneth Hawthorne is a Physician Assistant in Killeen, Texas. Kenneth Hawthorne practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kenneth Hawthorne is 1558371021. The last update date is 2007-07-08.

Kenneth Hawthorne's current location address is 4402 E Stagecoach Rd, Killeen, Texas. You can contact this provider via phone number 2546905014. The mailing address for Kenneth Hawthorne is 4402 E Stagecoach Rd, Killeen, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Hawthorne
Address 4402 E Stagecoach Rd, Killeen, Texas
Phone Number 2546905014
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1558371021
Provider Enumeration Date 2006-08-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4402 E Stagecoach Rd
City Killeen
State Texas (TX)
Post Code 765429761
Phone Number 2546905014
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA01014
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Kenneth Hawthorne

What is the Kenneth Hawthorne's 1558371021?

The Kenneth Hawthorne's NPI (National Provider Identifier) Number is 1558371021. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kenneth Hawthorne is geographically located?

The Kenneth Hawthorne is physically situated at the following location: 4402 E Stagecoach Rd, Killeen, TX, 765429761.

What is Kenneth Hawthorne's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kenneth Hawthorne's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Kenneth Hawthorne receive the assignment of its 1558371021 from the Centers for Medicare & Medicaid Services?

The Kenneth Hawthorne was issued its 1558371021 by the Centers for Medicare & Medicaid Services on 2006-08-08.

When was the information related to Kenneth Hawthorne most recently updated or refreshed?

The details pertaining to the Kenneth Hawthorne, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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