Provider Demographics
NPI:1215553631
Name:HAMILTON, KASSIDY (PA-C)
Entity type:Individual
Prefix:
First Name:KASSIDY
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KASSIDY
Other - Middle Name:
Other - Last Name:GIERTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8803 S 101ST EAST AVE STE 390
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-7549
Mailing Address - Country:US
Mailing Address - Phone:918-294-8000
Mailing Address - Fax:918-294-0006
Practice Address - Street 1:8803 S 101ST EAST AVE STE 390
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-7549
Practice Address - Country:US
Practice Address - Phone:918-294-8000
Practice Address - Fax:918-294-0006
Is Sole Proprietor?:No
Enumeration Date:2020-06-22
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant