Provider Demographics
NPI:1134169451
Name:HAMMOND, PATRICK L (DC)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:L
Last Name:HAMMOND
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 1:10610 SHAWNEE MISSION PKWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66203-3508
Mailing Address - Country:US
Mailing Address - Phone:913-248-9500
Mailing Address - Fax:913-248-1212
Practice Address - Street 1:10610 SHAWNEE MISSION PKWY
Practice Address - Street 2:SUITE 210
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66203-3508
Practice Address - Country:US
Practice Address - Phone:913-248-9500
Practice Address - Fax:913-248-1212
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04568111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSU84785Medicare UPIN
KSN86B030Medicare ID - Type Unspecified