Hawk, Kenneth W.

Hawk, Kenneth W. is an sole proprietor health care provider with primary practice located at 311 N 4Th St , Oakland MD 21550-1371. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Hawk, Kenneth W. can be contacted via phone (301) 334-7420.

Contact Information

Primary practice address
311 N 4Th St Oakland MD 21550-1371
Phone: (301) 334-7420
Fax: (301) 334-1819
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 57454 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R167958 Maryland

Profile Details

NPI number 1427047240
LBN Legal business name Hawk, Kenneth W.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2005
Last updated Feb 12th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427047240 NPPES
West Virginia MEDICAID 3810001587

Popular Providers