Provider Demographics
NPI:1427270396
Name:HAMLIN, MELISSA (DURABLE MEDICAL)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:DURABLE MEDICAL
Other - Prefix:MRS
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:HAMLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:73 C. MICHAEL DAVENPORT BLVD.
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-4475
Mailing Address - Country:US
Mailing Address - Phone:502-352-2860
Mailing Address - Fax:
Practice Address - Street 1:73 C. MICHAEL DAVENPORT BLVD.
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4475
Practice Address - Country:US
Practice Address - Phone:502-352-2860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY5712220001Medicare ID - Type Unspecified