Individual
BRENDA J. HAMILTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2483 HIGHWAY 644, LOUISA, KY 41230
(606) 638-9451
(606) 638-0307
Mailing address
PO BOX 409013, ATLANTA, GA 30384-9013
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4054P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000322301
BLUECROSS BLUESHIELD
KY
Enumeration date
01/30/2006
Last updated
07/08/2007
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