Individual
KATHLEEN MARIE HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1212 WEBER RD, FARMINGTON, MO 63640-3325
(573) 756-4581
Mailing address
1212 WEBER RD, FARMINGTON, MO 63640-3325
(573) 756-4581
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2011035324
MO
363LF0000X
Family Nurse Practitioner
Primary
2011035324
MO
Other
Enumeration date
08/16/2011
Last updated
01/31/2017
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