Individual
STEPHANIE BRIANNE HAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 EASTERN BYP, RICHMOND, KY 40475-2751
(859) 623-3131
Mailing address
504 PHEASANT RUN CT, RICHMOND, KY 40475-9099
(859) 582-0013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3015062
KY
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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