Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Hattaway, MD

Individual provider Family Medicine Physician · NPI 1679691885

Kevin Hattaway, MD is a Family Medicine Physician in Fairplay, Colorado. Works from 2 locations. Licensed in Colorado and Tennessee.

Licensed in
CO, TN
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

525 Hathaway St
Fairplay, CO 80440
Phone: (303) 788-9220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 525 Hathaway Street, Fairplay, CO 80440 — (303) 788-9220

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DR.0049308 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 30152 (TN)

Record details

NPI number1679691885
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2007
Last updated in NPPESJuly 26, 2019

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