| NPI | 1215085170 |
|---|---|
| Doing Business As | TRI STATE NEPHROLOGY |
| Entity Type | Organization |
| Authorized Contact | DONALD N HAMMONDS President 606-329-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4797P) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-06-16 |