Provider Demographics
NPI:1508748104
Name:HAMMS, KATELYN NICOLE (RN)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:NICOLE
Last Name:HAMMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 BURMUDA DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:MO
Mailing Address - Zip Code:64080-6607
Mailing Address - Country:US
Mailing Address - Phone:816-680-1986
Mailing Address - Fax:
Practice Address - Street 1:1205 BURMUDA DR
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:MO
Practice Address - Zip Code:64080-6607
Practice Address - Country:US
Practice Address - Phone:816-680-1986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023041142163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse