Individual
KELLY S HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2018 WESTERN AVE, KNOXVILLE, TN 37921-5718
(865) 544-0406
(865) 544-0480
Mailing address
5874 TANNAHILL DR APT 6F, KNOXVILLE, TN 37909-1758
(865) 315-9078
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
238464
TN
Other
Enumeration date
07/11/2019
Last updated
07/23/2019
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