Individual
KENZIE NICOLE HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 S MAYO TRL, PAINTSVILLE, KY 41240-1220
(606) 887-6145
(844) 464-1174
Mailing address
450 S MAYO TRL, PAINTSVILLE, KY 41240-1220
(606) 887-6145
(844) 464-1174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3363
KY
363A00000X
Physician Assistant
TC094
KY
Other
Enumeration date
12/08/2023
Last updated
09/18/2024
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