Provider Demographics
NPI:1154863272
Name:HAMMOND-FARMER, BRANDY (PA-C)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:HAMMOND-FARMER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:
Other - Last Name:HAMMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1221 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2701
Mailing Address - Country:US
Mailing Address - Phone:859-258-6200
Mailing Address - Fax:859-258-6203
Practice Address - Street 1:101 MEDICAL HEIGHTS DR STE D
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4137
Practice Address - Country:US
Practice Address - Phone:502-226-7054
Practice Address - Fax:502-226-7055
Is Sole Proprietor?:No
Enumeration Date:2016-11-07
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYTC553363AM0700X
KYPA2181363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYTC553OtherKY LICENSE