Hamilton, Kendall D

Hamilton, Kendall D is an individual health care provider with primary practice located at 4100 Lake Dr Se Suite 300, Grand Rapids MI 49546-8292. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Hamilton, Kendall D can be contacted via phone (616) 267-8860.

Contact Information

Primary practice address
4100 Lake Dr Se Suite 300 Grand Rapids MI 49546-8292
Fax: (616) 267-8442
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301090523 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 4301090523 Michigan

Profile Details

NPI number 1538366034
LBN Legal business name Hamilton, Kendall D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Mar 5th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538366034 NPPES
Michigan MEDICAID 1538366034

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