Provider Demographics
NPI:1639634199
Name:HAMMER, KRISTINA ROBINSON (DNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:ROBINSON
Last Name:HAMMER
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 LIME KILN LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-3460
Mailing Address - Country:US
Mailing Address - Phone:502-741-5308
Mailing Address - Fax:
Practice Address - Street 1:2311 LIME KILN LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-3460
Practice Address - Country:US
Practice Address - Phone:502-425-4404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-08
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71010695A363LF0000X
KY3012962363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
F07182322OtherAANP