Kenneth B Hawthorne Jr MD PA
NPI #1134458433 in Ormond Beach, Florida
Provider Information
- NPI Number
- 1134458433
- Entity Type
- Organization
- Organization Name
- Kenneth B Hawthorne Jr MD PA
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Dec 15, 2009
- Last Updated
- Oct 3, 2011
Practice Location
- Address
- 106 N OLD KINGS RD
- Address 2
- STE E
- City
- Ormond Beach
- State
- Florida
- ZIP Code
- 32174-9505
- Phone
- (386) 671-0115
Authorized Official
- Name
- KENNETH B HAWTHORNE JR., MD
- Title
- PRESIDENT/OWNER
- Phone
- (386) 671-0115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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