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General NPI Number Information
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NPI Number | 1902722960
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Entity Type | Individual
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Provider Name | KELSIE HAMMONS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 1900 N HIGHWAY 27
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City | WHITLEY CITY
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State | KY
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Zip | 42653-4112
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Country | US
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Telephone | 606-376-5391
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Fax |
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Provider Business Mailing Address
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Address Line | 250 SWAIN RD
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City | PINE KNOT
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State | KY
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Zip | 42635-9140
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Country | US
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Telephone | 606-310-3522
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4002751
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License Number State | KY
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