Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 10419 | TN |
N | 122300000X | Dentist | DN014710 | GA |
NPI | 1003177494 |
---|---|
Provider Name | Dr. Kathryn A Hawn |
First Address | Nashville, TN 37206-3850 |
Second Address | Nashville, TN 37206-3850 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2012 |
Last Update Date | 12/06/2020 |