Individual
KEVIN HAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO,PA
Contact information
Practice address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(316) 755-0482
(316) 755-0458
Mailing address
PO BOX 397, VALLEY CENTER, KS 67147-0397
(316) 755-0482
(316) 755-0458
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
05-26968
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-26968
LISCENSE
KS
01
—
058849
BCBS
KS
05
—
100297360C
—
KS
01
—
48-1235274
TAX ID #
KS
Enumeration date
10/03/2006
Last updated
10/30/2025
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