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Individual

KIM S HAMMONDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, NP-C

Contact information

Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024173816
VA
363LF0000X
Family Nurse Practitioner
Primary
3015617
KY
363LF0000X
Family Nurse Practitioner
71015859A
IN

Other

Enumeration date
06/15/2017
Last updated
02/23/2026
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