Healthcare Provider Details

I. General information

NPI: 1114871449
Provider Name (Legal Business Name): KIM HAMNER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 FLORIN ST
SILVER SPRING MD
20902-3838
US

IV. Provider business mailing address

1812 FLORIN ST
SILVER SPRING MD
20902-3838
US

V. Phone/Fax

Practice location:
  • Phone: 202-255-1121
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255R0406X
TaxonomyBlind Rehabilitation Specialist/Technologist
License Number7303
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: