Kent Leroy Hamilton, PAC Valid NPI
Individual provider · Physician Assistant · Weiser, ID
- NPI
- 1821183617
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- RPA-149 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-04
- Last updated
- 2008-12-08
Practice location
683 E 3rd St
Weiser, ID 83672-2248
(208) 549-0211