Provider Demographics
NPI:1790286326
Name:HAMILTON, SARAH E (PA-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8490 COLLEGE BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:OVERLAND
Mailing Address - State:KS
Mailing Address - Zip Code:66210
Mailing Address - Country:US
Mailing Address - Phone:913-722-5551
Mailing Address - Fax:785-368-0739
Practice Address - Street 1:8490 COLLEGE BOULEVARD
Practice Address - Street 2:
Practice Address - City:OVERLAND
Practice Address - State:KS
Practice Address - Zip Code:66210
Practice Address - Country:US
Practice Address - Phone:913-722-5551
Practice Address - Fax:785-368-0739
Is Sole Proprietor?:No
Enumeration Date:2018-02-28
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS15-02073363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant