Provider Demographics
NPI:1225002660
Name:HAMILTON, DENNISON ROBERT (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:DENNISON
Middle Name:ROBERT
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1862
Mailing Address - Country:US
Mailing Address - Phone:913-914-1234
Mailing Address - Fax:913-914-5454
Practice Address - Street 1:7100 COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1862
Practice Address - Country:US
Practice Address - Phone:913-914-1234
Practice Address - Fax:913-914-5454
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04198092083X0100X
MOR7D132083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOC50575Medicare UPIN
MO0006487CMedicare PIN