Provider Demographics
NPI:1083254239
Name:HAMPTON, BRITTANY R (HIS)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:R
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361-1840
Mailing Address - Country:US
Mailing Address - Phone:859-987-3272
Mailing Address - Fax:859-987-3273
Practice Address - Street 1:525 SOUTHLAND DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1828
Practice Address - Country:US
Practice Address - Phone:859-277-5090
Practice Address - Fax:859-278-6071
Is Sole Proprietor?:No
Enumeration Date:2020-01-15
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY261966237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY261966OtherCOMMONWEALTH OF KENTUCKY DEPARTMENT OF PROFESSIONAL LICENSING