Hawkins, Kelly Ann

Hawkins, Kelly Ann is an individual health care provider with primary practice located at 11120 Somerset Ave , Princess Anne MD 21853-2970. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hawkins, Kelly Ann can be contacted via phone (410) 651-4200.

Contact Information

Primary practice address
11120 Somerset Ave Princess Anne MD 21853-2970
Phone: (410) 651-4200
Fax: (410) 651-4290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15815 Maryland

Profile Details

NPI number 1235245044
LBN Legal business name Hawkins, Kelly Ann
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Aug 6th, 2014 - about 10 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 1235245044 NPPES
Maryland MEDICAID 119591300
Maryland Other 9179835
Maryland Other R968
Maryland Other 600645538
Maryland MEDICAID 609550001
Maryland MEDICAID 609550004
Maryland Other 464301
Maryland Other LM49EA

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