Provider Demographics
NPI:1710914130
Name:HAWKINS- KING, VALERIE (RD,LDN)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:
Last Name:HAWKINS- KING
Suffix:
Gender:F
Credentials:RD,LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3116 NOBLE VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-4021
Mailing Address - Country:US
Mailing Address - Phone:615-232-8045
Mailing Address - Fax:615-391-3523
Practice Address - Street 1:3116 NOBLE VALLEY DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-4021
Practice Address - Country:US
Practice Address - Phone:615-232-8045
Practice Address - Fax:615-391-3523
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDN00000734133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education