Individual
KEVIN WAYNE HAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 634-3031
Mailing address
801 W 11TH ST, NEWTON, KS 67114-1546
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1373523102
KS
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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