Healthcare Provider Details

I. General information

NPI: 1023687621
Provider Name (Legal Business Name): KAYLYN HAMILTON NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2021
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2142 N COVE BLVD
TOLEDO OH
43606-3895
US

IV. Provider business mailing address

3535 PENNY LN
ZANESVILLE OH
43701-1191
US

V. Phone/Fax

Practice location:
  • Phone: 419-291-8380
  • Fax:
Mailing address:
  • Phone: 419-309-9463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0030877
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number4704361721
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: