Provider Demographics
NPI:1548597107
Name:HAMNER, KERRY MICHELLE (RN, ANP-BC)
Entity type:Individual
Prefix:MRS
First Name:KERRY
Middle Name:MICHELLE
Last Name:HAMNER
Suffix:
Gender:F
Credentials:RN, ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2462 STOCKPORT CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-1218
Mailing Address - Country:US
Mailing Address - Phone:513-338-9452
Mailing Address - Fax:
Practice Address - Street 1:2462 STOCKPORT CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-1218
Practice Address - Country:US
Practice Address - Phone:513-338-9452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN184190163W00000X
KY3009618363L00000X
OHCOA.12036-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0105677Medicaid
OH0105677Medicaid
KYK187970Medicare PIN