Dr Kenneth D Hawn, MD is a
Pediatrics physician based in Waterloo, Illinois. Dr Kenneth D Hawn is licensed to practice in Illinois (license number 036135043) and his current practice location is 509 Hamacher St, Suite 103, Waterloo, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 939-2273.
NPI number for Dr Kenneth D Hawn is 1932101532 and his current mailing address is 509 Hamacher St, Suite 103, Waterloo, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932101532.
Physician's Profile
Full Name | Dr Kenneth D Hawn |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 509 Hamacher St, Waterloo, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932101532
- Provider Enumeration Date: 08/12/2005
- Last Update Date: 08/27/2014
Medical Identifiers
Medical identifiers for Dr Kenneth D Hawn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932101532 | NPI | - | NPPES |
157028001 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | E-4451 (Arkansas) | Secondary |
208000000X | Pediatrics | 2003018920 (Missouri) | Secondary |
208000000X | Pediatrics | 036135043 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth D Hawn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kenneth D Hawn, MD 509 Hamacher St, Suite 103, Waterloo, IL 62298-1592 Ph: (618) 939-2273 | Dr Kenneth D Hawn, MD 509 Hamacher St, Suite 103, Waterloo, IL 62298-1592 Ph: (618) 939-2273 |
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