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NPI Code Detail

MEDICARE: KAITLYN-MICHELLE HAMILTON PLADC

MEDICARE: KAITLYN-MICHELLE HAMILTON PLADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1396615357
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN-MICHELLE HAMILTON PLADC
Provider Business Mailing Address
First Line : 7929 W CENTER RD
Second Line :
City : OMAHA
State : NE
Zip : 68124-3104
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1420 E MILITARY AVE
Second Line :
City : FREMONT
State : NE
Zip : 68025-5300
Country : US
Telephone Number : 402-721-1774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2025
Last Update Date : 11/06/2025

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