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Organization

TRI STATE NEPHROLOGY PSC

Active
Other names
TRI STATE NEPHROLOGY
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD N HAMMONDS JR. DO (PRESIDENT)
(606) 329-9335
Entity
Organization

Contact information

Practice address
432 16TH ST, SUITE B, ASHLAND, KY 41101-7693
(606) 329-9335
(606) 324-6383
Mailing address
PO BOX 2468, ASHLAND, KY 41105-2468
(606) 329-9335
(606) 324-6383

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4797P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78902582
KY
Enumeration date
01/08/2007
Last updated
06/16/2008
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