Provider Demographics
NPI:1336607886
Name:HAMILL, ROSALEE K
Entity type:Individual
Prefix:
First Name:ROSALEE
Middle Name:K
Last Name:HAMILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROSALEE
Other - Middle Name:K
Other - Last Name:BURKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:208410 R 51
Mailing Address - Street 2:208410 R 51
Mailing Address - City:SHARON
Mailing Address - State:OK
Mailing Address - Zip Code:73857
Mailing Address - Country:US
Mailing Address - Phone:323-258-0273
Mailing Address - Fax:
Practice Address - Street 1:1222 10TH ST STE 211
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-3156
Practice Address - Country:US
Practice Address - Phone:580-256-8615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator