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Individual

MR. KATHLEEN KENNY HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1758 SPRINGHILL AVE, MOBILE, AL 36607-3508
(251) 479-0551
(251) 479-0522
Mailing address
1055 ABERDEEN CT N, MOBILE, AL 36609-3300
(251) 533-3969

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
246
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
246
PHYSICAL THERAPIST
AL
Enumeration date
08/31/2008
Last updated
08/31/2008
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