Hamilton, Kenneth Wayne
Hamilton, Kenneth Wayne is an individual health care provider with primary practice located at 909 Southeast Pkwy Ste 105 , Azle TX 76020-3600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hamilton, Kenneth Wayne can be contacted via phone (817) 238-0735.Contact Information
Primary practice address
909 Southeast Pkwy Ste 105
Azle TX 76020-3600
Phone: (817) 238-0735
Fax: (817) 238-7327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | J4181 | Texas |
Profile Details
| NPI number | 1013987593 |
|---|---|
| LBN Legal business name | Hamilton, Kenneth Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Oct 23rd, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013987593 | NPPES |
| Texas | MEDICAID | 101799803 | |
| Texas | MEDICAID | 101799802 |
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