Provider Demographics
NPI:1821382201
Name:HAMILTON, DANIEL DUWAYNE (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:DUWAYNE
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 CENTENNIAL CIR STE 180
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-4249
Mailing Address - Country:US
Mailing Address - Phone:859-620-1325
Mailing Address - Fax:859-282-2027
Practice Address - Street 1:1113 FASHION RIDGE RD
Practice Address - Street 2:
Practice Address - City:DRY RIDGE
Practice Address - State:KY
Practice Address - Zip Code:41035-9609
Practice Address - Country:US
Practice Address - Phone:859-643-6100
Practice Address - Fax:859-643-6105
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY270502111N00000X
CA32010111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor