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Individual

KIMBERLY EVONNE MILLER-HAMMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
(770) 617-5556
Mailing address
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
(770) 617-5556

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036159613
IL
208600000X
Surgery Physician
TL37495
SC

Other

Enumeration date
04/15/2009
Last updated
06/15/2022
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