Individual
MRS. KELLY MARIE HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4401 CAMPUS RIDGE DR STE LL110, MIDLAND, MI 48640-6126
(989) 837-9400
(989) 837-9410
Mailing address
4401 N CAMPUS RIDGE DR, STE B2200, MIDLAND, MI 48640-6112
(989) 837-9400
(989) 837-9410
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
390200000X
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301099687
ST LIC
MI
Enumeration date
11/26/2007
Last updated
07/21/2022
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