Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | PT7124 | WA |
NPI | 1013586197 |
---|---|
Provider Name | Kami Hammond |
First Address | Mead, WA 99021-9479 |
Second Address | Spokane, WA 99205-6185 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2021 |
Last Update Date | 22/06/2021 |