Provider Demographics
NPI:1710956099
Name:HAWES, KAREN S (ARNP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:HAWES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 COLLEGE AVE
Mailing Address - Street 2:SUITE E110
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-2770
Mailing Address - Country:US
Mailing Address - Phone:785-537-2651
Mailing Address - Fax:785-537-4276
Practice Address - Street 1:1133 COLLEGE AVE
Practice Address - Street 2:SUITE E110
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2770
Practice Address - Country:US
Practice Address - Phone:785-537-2651
Practice Address - Fax:785-537-4276
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44601363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS068002178OtherMEDICARE PTAN
KS100297630BMedicaid
KS100297630DMedicaid
KSS49591Medicare UPIN
KS160721Medicare ID - Type Unspecified