Most Relevant Information
Provider Data
NPI Number: | 1003520255 |
Provider Name: | KAYLEE LYNN HAWKS FNP-C |
Entity Type: | Individual |
Taxonomy Code: | 363L00000X |
Specialty: | Nurse Practitioner |
License Number: | 13460-33 |
Most Important Dates
Enumeration Date: | 01/12/2023 |
Last Updated: | 06/30/2023 |
Provider Practice Location
2502 S ASHLAND AVE
ASHWAUBENON
WI
543045252
Practice Location Phone/Fax
Phone: | 9204964700 |
Fax: |
Provider Mailing Location
PO BOX 19070
GREEN BAY
WI
543079070
Provider Mailing Phone/Fax
Phone: | 9204964700 |
Fax: |