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NPI Code Detail

MEDICARE: KELLY ANN HAWKINS APSW

MEDICARE: KELLY ANN HAWKINS APSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker135764-121WI

General Provider Information

NPI Number : 1295691624
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY ANN HAWKINS APSW
Provider Business Mailing Address
First Line : 18000 W SARAH LN STE 210
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-5840
Country : US
Telephone Number : 262-267-8752
Fax Number :
Provider Business Practice Location Address
First Line : 18000 W SARAH LN STE 210
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-5840
Country : US
Telephone Number : 262-267-8752
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2025
Last Update Date : 12/30/2025

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