MEDICARE: MRS. KERRY MICHELLE HAMNER RN, ANP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN184190	OH
2	363L00000X	Nurse Practitioner	3009618	KY
3	363L00000X	Nurse Practitioner	COA.12036-NP	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548597107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KERRY MICHELLE HAMNER RN, ANP-BC

Provider Business Mailing Address
First Line	:	2462 STOCKPORT CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-1218
Country	:	US
Telephone Number	:	513-338-9452
Fax Number	:

Provider Business Practice Location Address
First Line	:	2462 STOCKPORT CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-1218
Country	:	US
Telephone Number	:	513-338-9452
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2009
Last Update Date	:	07/21/2022

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