Provider Demographics
NPI:1902129976
Name:HAMMOND, CATHY LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:LYNN
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CATHY
Other - Middle Name:LYNN
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:350 CUMBERLAND DR
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40351-7675
Mailing Address - Country:US
Mailing Address - Phone:606-776-2723
Mailing Address - Fax:
Practice Address - Street 1:55 CUMBERLAND DR
Practice Address - Street 2:
Practice Address - City:MOREHEAD
Practice Address - State:KY
Practice Address - Zip Code:40351-7672
Practice Address - Country:US
Practice Address - Phone:606-776-2723
Practice Address - Fax:606-784-4905
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY30816207L00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice