Provider Demographics
NPI:1851912570
Name:HAWKINS, KAI CHARMEEN
Entity Type:Individual
Prefix:
First Name:KAI
Middle Name:CHARMEEN
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 MCCONNELL CIR APT A26
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71602-3364
Mailing Address - Country:US
Mailing Address - Phone:562-739-6688
Mailing Address - Fax:
Practice Address - Street 1:2410 MCCONNELL CIR APT A26
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71602-3364
Practice Address - Country:US
Practice Address - Phone:562-739-6688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife