Provider Demographics
NPI:1467340208
Name:HAWKINS, KEASHA (THD)
Entity type:Individual
Prefix:DR
First Name:KEASHA
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:THD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4753
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-0753
Mailing Address - Country:US
Mailing Address - Phone:531-484-8900
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 4753
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-0753
Practice Address - Country:US
Practice Address - Phone:531-484-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant