Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP30004361 | WA |
NPI | 1033195615 |
---|---|
Provider Name | Kevin William Haws |
First Address | Fpo, AP 96350 |
Second Address | Fpo, AP 96350 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2005 |
Last Update Date | 20/04/2008 |