Doctor Name: | MRS. KELLY HAWKS LAWLER |
NPI Number: | 1285870667 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 201457 |
Business Practice Address: | 324 Long Shoals Rd Cvs #7884 Arden, NC - 287048794 |
Business Phone Number: | 8286540812 |
Business Fax Number: | |
Mailing Address: | 324 Long Shoals Rd, Cvs #7884 ARDEN |
State: | NC |
Postal Code: | 287048794 |
Phone Number: | 8286540812 |
Fax Number: | |
NPI Enumeration Date: | 01/06/2009 |
NPI Last Update Date: | 09/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 201457 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |