Individual
KELLI ANN HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
120 W. 106TH ST, NEW YORK, NY 10025
(212) 870-5000
Mailing address
368 W. 127TH #3, NEW YORK, NY 10027
(507) 351-3393
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F307872
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403661
NY
Other
Enumeration date
09/01/2016
Last updated
07/07/2022
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