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Contact Information

KENNETH B HAWTHORNE JR, MD
106 N OLD KINGS RD
STE E
ORMOND BEACH, FL32174
 Phone: 386-671-0115
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KENNETH B HAWTHORNE JR · (Male)

NPI Number 1659331619
Status Active
Credentials MD
Entity Individual
Enumeration date 03/24/2006
Last updated 12/01/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # MEOO63107
Hospital affiliation(s)
  • BERT FISH MEDICAL CENTER - (Acute Care)
    401 PALMETTO ST
    NEW SMYRNA BEACH, FL 32170
  • FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER - (Acute Care)
    301 MEMORIAL MEDICAL PARKWAY
    DAYTONA BEACH, FL 32117
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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