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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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 1013987593 NPPES
Texas MEDICAID 101799803
Texas MEDICAID 101799802

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