Provider Demographics
NPI:1861838724
Name:HAWKINS, CLIFTON BERNARD (MT(ASCP))
Entity type:Individual
Prefix:
First Name:CLIFTON
Middle Name:BERNARD
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:MT(ASCP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11875 S SUNSET DR STE 300
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-2794
Mailing Address - Country:US
Mailing Address - Phone:913-477-8365
Mailing Address - Fax:913-715-2476
Practice Address - Street 1:11875 S SUNSET DR STE 300
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-2794
Practice Address - Country:US
Practice Address - Phone:913-477-8365
Practice Address - Fax:913-715-2476
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory