Organization
KEVIN HAMM ,DO,PA
Active
Other names
Kevin Hamm, DO, PA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN HAMM DO (OWNER)
(316) 755-0482
Entity
Organization
Contact information
Practice address
1323 N A ST, WELLINGTON, KS 67152-4350
(316) 755-0482
(316) 755-0458
Mailing address
PO BOX 373, ANDOVER, KS 67002-0373
(316) 755-0482
(316) 755-0458
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
05-26968
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100297360C
—
KS
01
—
1578657623
INDIVIDUAL NPI
KS
Enumeration date
06/27/2012
Last updated
06/27/2012
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