Provider Demographics
NPI:1003177494
Name:HAWN, KATHRYN A (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:A
Last Name:HAWN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 S 11TH ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-3850
Mailing Address - Country:US
Mailing Address - Phone:310-561-4410
Mailing Address - Fax:
Practice Address - Street 1:1005 S 11TH ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-3850
Practice Address - Country:US
Practice Address - Phone:310-561-4410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-02
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN014710122300000X
TN10419122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist