Healthcare Provider Details

I. General information

NPI: 1245470426
Provider Name (Legal Business Name): JAMES J HAMMOCK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2009
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 ROY CAMPBELL DR
HAZARD KY
41701-9407
US

IV. Provider business mailing address

181 ROY CAMPBELL DR
HAZARD KY
41701-9407
US

V. Phone/Fax

Practice location:
  • Phone: 606-439-1316
  • Fax: 606-439-8457
Mailing address:
  • Phone: 606-439-1316
  • Fax: 606-439-8457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number44984
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: