Provider Demographics
NPI:1326219916
Name:HAWKINS, JOSEPH H (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:H
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E 20TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:EUDORA
Mailing Address - State:KS
Mailing Address - Zip Code:66025-7801
Mailing Address - Country:US
Mailing Address - Phone:785-542-2345
Mailing Address - Fax:785-542-2109
Practice Address - Street 1:600 E 20TH ST STE 200
Practice Address - Street 2:
Practice Address - City:EUDORA
Practice Address - State:KS
Practice Address - Zip Code:66025-7801
Practice Address - Country:US
Practice Address - Phone:785-542-2345
Practice Address - Fax:785-542-2109
Is Sole Proprietor?:No
Enumeration Date:2008-03-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-34010207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine