Individual
MRS. KATHERINE SENSEL HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4130 DUTCHMANS LN, SUITE 300, LOUISVILLE, KY 40207-4713
(502) 897-1794
(502) 897-0093
Mailing address
4130 DUTCHMANS LN, SUITE 300, LOUISVILLE, KY 40207-4713
(502) 897-1794
(502) 897-0093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001815A
IN
363A00000X
Physician Assistant
Primary
PA1022
KY
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
PA1022
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000508868
ANTHEM
—
05
—
300008421
—
IN
05
—
7100006870
—
KY
Enumeration date
01/03/2006
Last updated
12/26/2018
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