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NPI Code Detail

MEDICARE: SAMUEL P HAMILTON

MEDICARE: SAMUEL P 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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner3018544KY

General Provider Information

NPI Number : 1598481723
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL P HAMILTON
Provider Business Mailing Address
First Line : PO BOX 40
Second Line :
City : WHITESBURG
State : KY
Zip : 41858-0040
Country : US
Telephone Number : 606-633-4823
Fax Number :
Provider Business Practice Location Address
First Line : 115 W RUSSELL ST
Second Line :
City : ELKHORN CITY
State : KY
Zip : 41522-9023
Country : US
Telephone Number : 606-754-8445
Fax Number : 606-754-8316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2022
Last Update Date : 10/19/2022

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Directions to “ SAMUEL P HAMILTON ” Practice Location

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