Individual
NOAH BLAKE HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 679-7441
Mailing address
927 COBBLE DR, RICHMOND, KY 40475-8317
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1144597
KY
367500000X
Certified Registered Nurse Anesthetist
00000000
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
134990
KY
Other
Enumeration date
06/08/2021
Last updated
08/18/2021
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