Individual ProviderKelly HamiltonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6010 Balcones Dr, Austin, TX 78731-4270(512) 299-2229(512) 779-1117PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Hamilton is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:13 AM.Profile DetailsProvider ID1053793364Provider TypeIndividualFull NameHamilton, KellyGenderFemaleSole ProprietorNoEnumeration Date6/23/2015Last Updated6/23/2015Contact InformationPractice LocationPractice Address6010 Balcones Dr, Austin, TX 78731-4270Phone(512) 299-2229FaxUnlisted FaxMailing LocationMailing Address30203 Meadow Greens Dr, Georgetown, TX 78628-1022Phone(512) 779-1117FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP128357Texas