| Doctor Name: | DR. JERRY L HAMAN |
| NPI Number: | 1043234735 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O |
| License Number: | R9072 |
| Business Practice Address: | 27176 St Hwy 6 E Kirksville, MO - 63501 |
| Business Phone Number: | 6606271812 |
| Business Fax Number: | 6606274799 |
| Mailing Address: | Po Box 661, KIRKSVILLE |
| State: | MO |
| Postal Code: | 635010661 |
| Phone Number: | 6606271812 |
| Fax Number: | 6606274799 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 09/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | R9072 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |