| Doctor Name: | DR. JUSTIN KEITH HAMLIN |
| NPI Number: | 1174883607 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 5469 |
| Business Practice Address: | 29 Nw 1st Ln Lamar, MO - 647598105 |
| Business Phone Number: | 4176815266 |
| Business Fax Number: | 4176815526 |
| Mailing Address: | 29 Nw 1st Ln, LAMAR |
| State: | MO |
| Postal Code: | 647598105 |
| Phone Number: | 4176815266 |
| Fax Number: | 4176815526 |
| NPI Enumeration Date: | 05/17/2012 |
| NPI Last Update Date: | 06/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5469 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |