Healthcare Provider Details
I. General information
NPI: 1437323748
Provider Name (Legal Business Name): KAREN ANN HAWLEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/17/2008
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1675 HIGHLAND AVE
MADISON WI
53792-0002
US
IV. Provider business mailing address
800 BRADBURY DR SE STE 116
ALBUQUERQUE NM
87106-4310
US
V. Phone/Fax
- Phone: 608-263-6420
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207YP0228X |
| Taxonomy | Pediatric Otolaryngology Physician |
| License Number | MD2015-0525 |
| License Number State | NM |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: