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Individual

WILLIAM R HAMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
119 FAIRFIELD AVE, SUITE R102, BELLEVUE, KY 41073-1184
(859) 431-0090
(859) 431-3168
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 431-0090
(859) 431-3168

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37988
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2604364
OH
05
64107584
KY
01
P00253099
RAILROAD MEDICARE
KY
01
P00856614
RAILROAD MEDICARE
KY
Enumeration date
06/03/2006
Last updated
09/10/2018
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