Individual
KATHLEEN HAMMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1163 COUNTRY CLUB RD, MONONGAHELA, PA 15063-1013
(724) 258-1001
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TP003010B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073954050002
—
PA
05
—
2647701
—
OH
Enumeration date
12/15/2005
Last updated
07/08/2007
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