# KENNETH E. HAMILTON, D.O., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679502793
- **Authorized official:** KENNETH E HAMILTON D.O. (OWNER/PHYSICIAN)
- **Authorized official phone:** (573) 426-6588

## Contact information

- **Practice address:** 604 W 6TH ST, B, ROLLA, MO 65401-2941
- **Practice address phone:** (573) 426-6588
- **Practice address fax:** (573) 426-5664
- **Mailing address:** 604 W 6TH ST, B, ROLLA, MO 65401-2941
- **Mailing address phone:** (573) 426-6588
- **Mailing address fax:** (573) 426-5664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 2005036202 | MO | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 08/22/2020