Provider Demographics
NPI:1336303056
Name:HAMILTON, K BRYCE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:K BRYCE
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 COLLEGE BLVD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1923
Mailing Address - Country:US
Mailing Address - Phone:913-908-1014
Mailing Address - Fax:816-943-6404
Practice Address - Street 1:5401 COLLEGE BLVD
Practice Address - Street 2:SUITE 111
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1923
Practice Address - Country:US
Practice Address - Phone:913-908-1014
Practice Address - Fax:816-943-6404
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMSW72641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical