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NPI Code Detail

MEDICARE: KALA HAMILTON

MEDICARE: KALA HAMILTON
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
1103K00000XBehavior Analyst1-21-48880FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588248470
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALA HAMILTON
Provider Business Mailing Address
First Line : 12823 SOLOLA WAY
Second Line :
City : TRINITY
State : FL
Zip : 34655-7246
Country : US
Telephone Number : 727-534-6042
Fax Number :
Provider Business Practice Location Address
First Line : 12823 SOLOLA WAY
Second Line :
City : TRINITY
State : FL
Zip : 34655-7246
Country : US
Telephone Number : 727-534-6042
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2021
Last Update Date : 02/05/2024

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Directions to “ KALA HAMILTON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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