Individual
KEVIN HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
403 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3784
(336) 716-0855
(336) 716-0822
Mailing address
PO BOX 571097, WINSTON SALEM, NC 27157-1097
(336) 716-0855
(336) 716-0822
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1527
NC
106H00000X
Marriage & Family Therapist
4536
SC
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7184
MEDICAL
CA
01
—
7368
MEDICAL
CA
01
—
7667
MEDICAL
CA
Enumeration date
09/26/2007
Last updated
09/18/2013
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