Provider Demographics
NPI:1518082627
Name:HAWKS, AMANDA KAY (PA C)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:KAY
Last Name:HAWKS
Suffix:
Gender:F
Credentials:PA C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:200 LOTHROP ST
Mailing Address - Street 2:FORBES TOWER ROOM 9055
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2536
Mailing Address - Country:US
Mailing Address - Phone:412-647-3087
Mailing Address - Fax:412-647-4486
Practice Address - Street 1:1310 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323
Practice Address - Country:US
Practice Address - Phone:814-432-3163
Practice Address - Fax:814-437-2417
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2011-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA051977363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant