Individual
MRS. KELLI LYNN HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1016 S JOSHUA AVE, PARKER, AZ 85344-5057
(928) 669-9700
Mailing address
3377 ROCKING HORSE DR, LAKE HAVASU CITY, AZ 86406-5532
(928) 208-8122
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
260165
AZ
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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