Individual
KEVIN JEROME HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1400 CALDER ST, GRETNA, LA 70053-5637
(504) 994-7542
Mailing address
1400 CALDER ST STE 101, GRETNA, LA 70053-5637
(504) 994-7542
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
13389
LA
Other
Enumeration date
08/18/2023
Last updated
09/26/2023
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