Individual
DR. KENNETH E HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6465 S YALE AVE STE 615, TULSA, OK 74136-7808
(918) 502-4600
(918) 502-4605
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2005036202
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
3112
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200089811
—
MO
01
—
221288
BLUE CROSS
MO
Enumeration date
01/18/2006
Last updated
01/22/2021
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