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Individual

MRS. GINA MICHELLE HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
333 BOGLE ST, SOMERSET, KY 42503-2873
(606) 678-0705
(606) 678-2807
Mailing address
333 BOGLE ST, SOMERSET, KY 42503-2873
(606) 678-0705
(606) 678-2807

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
3001453
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20023016
KY
05
20027017
KY
05
20074019
KY
05
20100012
KY
05
20104014
KY
05
20109013
KY
05
20116018
KY
05
20901211
KY
Enumeration date
12/28/2005
Last updated
05/19/2011
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