Organization Active NPI

Kenneth E. Hamilton, D.O., LLC

  • Obstetrics & Gynecology Physician
  • Rolla, MO
National Provider Identifier
1679502793
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2005036202 Issued in MO
Legal business name
KENNETH E. HAMILTON, D.O., LLC
Practice address
604 W 6TH St
B
Rolla, MO 65401-2941
Phone
(573) 426-6588
Fax
(573) 426-5664
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenneth E Hamilton, D.O.NPI 1760462618
Title
Owner/Physician
Phone
(573) 426-6588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 2005036202 MO Primary

Addresses

Primary practice location

604 W 6TH St
B
Rolla, MO 65401-2941

Mailing address

604 W 6TH St
B
Rolla, MO 65401-2941
Phone (573) 426-6588

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679502793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W 6TH ST",
            "address_2": "B",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012941",
            "telephone_number": "573-426-6588",
            "fax_number": "573-426-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W 6TH ST",
            "address_2": "B",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012941",
            "telephone_number": "573-426-6588",
            "fax_number": "573-426-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH E. HAMILTON, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "573-426-6588",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2005036202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.