Provider Demographics
NPI:1225839228
Name:HAWKEN, NATALIE (DC)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:HAWKEN
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 HAWKEN DR
Mailing Address - Street 2:
Mailing Address - City:KAISER
Mailing Address - State:MO
Mailing Address - Zip Code:65047-2110
Mailing Address - Country:US
Mailing Address - Phone:573-552-7392
Mailing Address - Fax:
Practice Address - Street 1:602 E 4TH ST
Practice Address - Street 2:
Practice Address - City:ELDON
Practice Address - State:MO
Practice Address - Zip Code:65026-1838
Practice Address - Country:US
Practice Address - Phone:573-557-2311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024044915111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor