Kellie Lynn Hamilton, IDC
Military Health Care Provider, Independent Duty Corpsman in San Diego, CA. Individual provider (NPI-1).
NPI number1043422652
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1043422652
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kellie Lynn Hamilton
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 4, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
Naval School Of Health Sciences34101 Farenholt Ave, Bld 14
San Diego, CA 92134
Phone 619-532-6094
Mailing address
1235 Aguirre DrChula Vista, CA 91910-8176
Phone 619-392-8754
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All 1,039 Independent Duty Corpsman providers in San Diego · All 61,118 providers in San Diego
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