Individual
BETHANIE RAE HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4004 DUPONT CIR STE 230, LOUISVILLE, KY 40207-4819
(502) 893-1333
(502) 899-9576
Mailing address
4004 DUPONT CIR STE 230, LOUISVILLE, KY 40207-4819
(502) 893-1333
(502) 899-9576
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0436827
KS
2085R0202X
Diagnostic Radiology Physician
246437
MA
2085R0202X
Diagnostic Radiology Physician
27564
NE
2085R0202X
Diagnostic Radiology Physician
Primary
47509
KY
2085R0202X
Diagnostic Radiology Physician
53012
CO
2085R0202X
Diagnostic Radiology Physician
ME166095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629189105
—
MT
05
—
1629189105
—
UT
05
—
63780062
—
NM
05
—
7100325960
—
KY
05
—
84059792913
—
NE
05
—
84089712600
—
NE
05
—
899230
—
AZ
Enumeration date
08/31/2006
Last updated
01/03/2025
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