Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 22818 | KY |
NPI | 1023075660 |
---|---|
Provider Name | Dr. John T Hamm |
First Address | Louisville, KY 40202-1703 |
Second Address | Louisville, KY 40202-1703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 19/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000044826 | ANTHEM PROVIDER NUMB (01) | KY |
000020583C | HUMANA PROVIDER NUMB (01) | KY |
1050401 | PASSPORT PROVIDER NUMB (01) | KY |
110089561 | RAILROAD MEDICARE (01) | KY |
200042640 | (05) | IN |
2527651 | CIGNA PROVIDER NUMB (01) | KY |
4045190 | AETNA PROVIDER NUMB (01) | KY |
64228182 | (05) | KY |
C69090 | (02) | KY |