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NPI Code Detail

MEDICARE: KATHLEEN HAMILTON MS, CCC-SLP

MEDICARE:   KATHLEEN  HAMILTON  MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP.0002287CO

General Provider Information

NPI Number : 1184099400
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN HAMILTON MS, CCC-SLP
Provider Business Mailing Address
First Line : 418 S WEBER ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-2127
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 418 S WEBER ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-2127
Country : US
Telephone Number : 719-380-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2015
Last Update Date : 12/11/2015

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Directions to “ KATHLEEN HAMILTON MS, CCC-SLP” Practice Location

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