Provider Demographics
NPI:1275752693
Name:HAWKINS, KARI ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:ANN
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KARI
Other - Middle Name:ANN
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:923 S CATALINA AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-4718
Mailing Address - Country:US
Mailing Address - Phone:310-540-8333
Mailing Address - Fax:310-540-8385
Practice Address - Street 1:923 S CATALINA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-4718
Practice Address - Country:US
Practice Address - Phone:310-540-8333
Practice Address - Fax:310-540-8385
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28674111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU97976Medicare UPIN