Provider Demographics
NPI:1043246796
Name:HAMMERMUELLER, KURT (PA-C)
Entity type:Individual
Prefix:MR
First Name:KURT
Middle Name:
Last Name:HAMMERMUELLER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:46 LONGLEAF CT
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27332-6699
Mailing Address - Country:US
Mailing Address - Phone:919-498-1516
Mailing Address - Fax:
Practice Address - Street 1:2817 REILLY RD
Practice Address - Street 2:WAMCAK ARMY MEDICAL CENTER
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-7324
Practice Address - Country:US
Practice Address - Phone:910-951-4393
Practice Address - Fax:910-907-4222
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC102317363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant