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Individual

MS. KATHLEEN MARIE MEGHA HAMMAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.,R.N.,A.N.P.

Contact information

Practice address
425 E DAHLIA AVE, STE MB, PALMER, AK 99645-6414
(907) 746-4412
(907) 746-5539
Mailing address
425 E DAHLIA AVE, STE MB, PALMER, AK 99645
(907) 746-4412
(907) 746-5539

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7224-185
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP2411
AK
Enumeration date
02/22/2007
Last updated
06/28/2013
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