Healthcare Provider Details

I. General information

NPI: 1508046046
Provider Name (Legal Business Name): KRISTI G HAMMOND APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2007
Last Update Date: 08/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST
LEXINGTON KY
40536-0284
US

IV. Provider business mailing address

769 ANDERSON RD
GEORGETOWN KY
40324-9278
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-5530
  • Fax: 859-257-8675
Mailing address:
  • Phone: 859-806-3578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number3005405
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: