Provider Demographics
NPI:1750557021
Name:HEWAT, KARI ANNE (MD)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:ANNE
Last Name:HEWAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:980-367-4363
Mailing Address - Fax:704-316-2558
Practice Address - Street 1:2100 S TRYON ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5029
Practice Address - Country:US
Practice Address - Phone:704-316-3000
Practice Address - Fax:704-316-3001
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2012-00852207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1750557021Medicaid
SCNC1742Medicaid
NCNC8092AMedicare PIN
NCNC8092BMedicare PIN