Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 34894 | KY |
NPI | 1497858641 |
---|---|
Provider Name | David A Hamilton SR. |
First Address | Elizabethtown, KY 42701-2749 |
Second Address | Elizabethtown, KY 42701-2749 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 09/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64052798 | (05) | KY |
H63934 | (02) |