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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427047240 | NPPES |
| West Virginia | MEDICAID | 3810001587 |
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