Provider Demographics
NPI:1508195561
Name:HAWKEYE ANESTHESIA PLLC
Entity Type:Organization
Organization Name:HAWKEYE ANESTHESIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:C
Authorized Official - Last Name:KEMEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:319-213-2002
Mailing Address - Street 1:1916 OAK KNOLLS CT SE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52403-3963
Mailing Address - Country:US
Mailing Address - Phone:319-364-3057
Mailing Address - Fax:
Practice Address - Street 1:1026 A AVENUE NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52406-3026
Practice Address - Country:US
Practice Address - Phone:319-369-7211
Practice Address - Fax:319-364-3057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-21
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty