Individual
KELLY ELIZABETH HAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S2
Contact information
Practice address
14455 W VAN BUREN ST, GOODYEAR, AZ 85338-9209
(623) 518-2386
Mailing address
46 FOREST HILL AVE, LYNNFIELD, MA 01940-1759
(781) 733-0250
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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