Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN HATTAWAY, MD
ActiveKEVIN HATTAWAY, MD is a Family Medicine healthcare provider located in FAIRPLAY, Colorado. NPI 1679691885 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FAIRPLAY, CO
Registration Details
- NPI Number
- 1679691885
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2007 (19.206172301365 yrs)
- Last Updated
- Jul 26, 2019
- Licenses
-
30152 (TN)DR.0049308 (CO)
Practice Information
- Address
-
525 HATHAWAY STREETFAIRPLAY, CO, 80440Browse CO providers · Browse ZIP 80440
- Phone
- 3037889220
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.