Kevin Hattaway, MD is a
Family Medicine physician based in Fairplay, Colorado. Kevin Hattaway is licensed to practice in Colorado (license number DR.0049308) and his current practice location is 525 Hathaway Street, Fairplay, Colorado. He can be reached at his office (for appointments etc.) via phone at
(303) 788-9220.
NPI number for Kevin Hattaway is 1679691885 and his current mailing address is 525 Hathaway Street, Fairplay, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679691885.
Physician's Profile
Full Name | Kevin Hattaway |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 525 Hathaway Street, Fairplay, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679691885
- Provider Enumeration Date: 03/26/2007
- Last Update Date: 07/26/2019
Medical Identifiers
Medical identifiers for Kevin Hattaway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679691885 | NPI | - | NPPES |
3150572 | Other | | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 30152 (Tennessee) | Secondary |
207Q00000X | Family Medicine | DR.0049308 (Colorado) | 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. Kevin Hattaway 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 |
Kevin Hattaway, MD 525 Hathaway Street, Fairplay, CO 80440 Ph: (303) 788-9220 | Kevin Hattaway, MD 525 Hathaway Street, Fairplay, CO 80440 Ph: (303) 788-9220 |
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