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Individual

KATHLEEN HAMMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CRNA

Contact information

Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3326
(215) 707-8028
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3326

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
082134
NC
367500000X
Certified Registered Nurse Anesthetist
AC000686
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
RN556891
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024018400
MD
Enumeration date
03/30/2009
Last updated
04/27/2018
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